社区护理对早期糖尿病视网膜病变康复影响.docVIP

社区护理对早期糖尿病视网膜病变康复影响 　　【摘要】 目的：观察社区护理在早期糖尿病视网膜病变康复中的应用效果。方法：选择2016年8月-2017年7月在笔者所在医院接受治疗的早期糖尿病视网膜病变患者44例作为研究对象，随机划入观察组和对照组，每组22例，分别接受社区护理和常规护理，比较两组患者空腹血糖、三酰甘油、糖化血红蛋白水平和视力情况。结果：观察组患者空腹血糖为（7.5±0.5）mmol/L，三酰甘油为（8.2±0.3）mmol/L，糖化血红蛋白为（7.2±0.6）%，视力为（0.7±0.1）；对照组患者空腹血糖为（8.2±0.7）mmol/L，三酰甘油为（9.4±0.2）mmol/L，糖化血红蛋白为（8.3±0.7）%，视力为（0.5±0.2）。观察组均优于对照组，差异均有统计学意义（P0.05）。结论：社区护理在早期糖尿病视网膜病变康复中的应用效果显著，患者血糖水平、三酰甘油水平和糖化血红蛋白水平更趋于正常，视力恢复情况也越好，值得临床应用和推广。 　　【关键词】 社区护理； 早期糖尿病视网膜病变； 康复 　　doi：10.14033/j.cnki.cfmr.2018.10.040 文献标识码 B 文章编号 1674-6805（2018）10-0084-02 　　【Abstract】 Objective：To observe the effect of community nursing in the rehabilitation of early diabetic retinopathy.Method：Forty-four patients with early diabetic retinopathy who underwent treatment in the author’s hospital from August 2016 to July 2017 were randomly selected into the observation group and the control group.Among them，22 cases were observed and 22 cases were in the control group.The levels of fasting blood glucose， triglyceride，glycosylated hemoglobin and visual acuity were compared between the two groups.Result：In the observation group， fasting blood glucose was （7.5±0.5）mmol/L，triglyceride was （8.2±0.3）mmol/L，glycosylated hemoglobin was （7.2±0.6）%，visual acuity was （0.7±0.1）.In the control group，fasting blood glucose was （8.2±0.7）mmol/L，triglyceride was （9.4±0.2）mmol/L，glycosylated hemoglobin was （8.3±0.7）%，visual acuity was （0.5±0.2）.The observation group was superior to the control group，the differences were statistically significant（P0.05）.Conclusion：The effect of community nursing on the rehabilitation of diabetic retinopathy is significant.The blood glucose level，triglyceride level and glycosylated hemoglobin level are more normal and the recovery of vision is better， which is worthy of clinical application and promotion. 　　【Key words】 Community care； Early diabetic retinopathy； Recovery 　　First-author’s address：Yancheng Teachers College Health Center，Yancheng 224000，China 　　糖尿病?网膜病变是常见糖尿病并发症，临床发病率较高