糖尿病合并急性心肌梗死急诊护理的的体会.docVIP

糖尿病合并急性心肌梗死急诊护理的的体会 　　[摘要] 目的 分析糖尿病合并急性心肌梗死急诊护理体会。方法 选取2015年9月―2016年9月?院收治的糖尿病患者100例作为研究对象，均并发急性心肌梗死。随机等分两组，每组50例。对照组应用常规模式，而试验组给予急诊护理。统计两组糖尿病患者护理期间出现局部感染、心律失常、心源性休克等并发症人数及其治疗效果。结果 数据指出，试验组糖尿病患者在经过急诊护理干预后出现局部感染、心律失常、心源性休克等并发症人数均优于对照组、差异有统计学意义（P0.05）。且试验组患者的心理健康、疼痛指标、治疗结果等方面的评分均优于对照组。差异有统计学意义（P0.05）。结论 临床针对糖尿病合并急性心肌梗死采用急诊护理有着较好的疗效，可以改善患者护理期间出现心源性休克、局部感染等并发症，保证患者治疗效果。 　　[关键词] 糖尿病；急性心肌梗死；急诊护理；临床体会 　　[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2017）06（a）-0121-02 　　[Abstract] Objective This paper tries to analyze the experience of the nursing care of patients with acute myocardial infarction with diabetes. Methods 100 cases of diabetic patients from September 2015 to September 2016 in this hospital were selected as the research objects that had acute myocardial infarction. These research objects were randomly divided into two groups， with 50 cases in each group. The control group used conventional mode， while the experimental group was given emergency care. The number of patients with local infection， cardiac arrhythmia， cardiogenic shock and other complications of the two groups during the nursing care period were collected and the effect of treatment was analyzed. Results The data indicated that diabetic patients in the experimental group after emergency nursing intervention of local infection， arrhythmia， cardiogenic shock and etc were better than that of the control group and the difference was significant， （P0.05）. The mental health， pain index， treatment results and other aspects of the scores in the experimental group were better than the control group with significant difference（P0.05）. Conclusion Emergency nursing for clinical diabetes complicated with acute myocardial infarction has a better curative effect， which can improve the heart shock， local infection and other complications during the nursing care， and ensure the treatment effect. 　　[Key words] Diabetes； Acute myocardial infarction； Emergency nursing； Clinical experience 　　糖尿病是指机体内激素分泌缺陷或者功能障碍而引起以血糖升