饮食护理干预对糖尿病性胃轻瘫患者胃排空时间影响及疗效观察.docVIP

饮食护理干预对糖尿病性胃轻瘫患者胃排空时间影响及疗效观察 　　[摘要] 目的 探讨饮食护理干预对糖尿病性胃轻瘫患者胃排空时间的影响及疗效观察。 方法 将80例糖尿病性胃轻瘫患者随机分为常规组和干预组。两组均予以饮食调整、适量运动及药物控制血糖治疗。常规组和干预组分别予以常规护理和综合性护理干预，干预时间均为8周。 结果 干预4、8周后，两组胃固体排空时间均明显缩短（P0.05或P0.01），且干预组缩短时间更明显（P0.05）；治疗8周后，干预组临床总有效率明显高于常规组（χ2 =4.50，P0.05）；随访半年及1年干预组患者复发率均明显低于常规组（χ2 =4.72和4.94，P0.05）。 结论 饮食护理干预用于糖尿病性胃轻瘫患者具有较好疗效，可缩短胃固体排空时间，并可降低其复发率。 　　[关键词] 糖尿病性胃轻瘫；饮食护理；胃排空时间；疗效 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2014）12-0099-03 　　[Abstract] Objective To discuss the influence and curative effect of diet nursing intervention on gastric emptying time of patients with diabetic gastroparesis（DGP）. Methods Eighty cases of DGP were divided into intervention group and routine group at random. The patients in two groups were both given routine medical treatment， like diet adjustment， proper exercise， blood sugar control by drugs and etc. The patients in routine group and intervention group were respectively given routine nursing intervention and comprehensive nursing intervention for 8 weeks. Results After 4 and 8 weeks’ intervention， gastric emptying time of patients in two groups were obviously shorter than before treatment（P0.05 or P0.01）， and the shorten time of patients in intervention group was much more obvious than that in routine group（P0.05）. After 8 weeks’ treatment， the total clinical efficiency of patients in intervention group was much higher than that in routine group （χ2 =4.50，P0.05）. The reoccurrence rate of patients in intervention group at the time of half-a-year and one year after the medical treatment was much lower than that in routine group （χ2 =4.72， 4.94， P0.05）.Conclusion Diet nursing intervention has reliable curative effect on patients with DGP， which can obviously shorten the gastric emptying time and reduce the rate of reoccurrence. 　　[Key words] Diabetic gastroparesis； Diet nursing； Gastric emptying time； Curative effect 　　糖尿病性胃轻瘫是内分泌科门诊的常见病之一，发病率约占糖尿病患者的40%～60%，是糖尿病常见的并发症[1]。以往常采用甲氧氯普胺、多潘立酮和莫沙必利等药物治疗糖尿病性胃轻瘫，但疗效欠理想，治疗后易复发[2，3]。饮食护