脑卒中后遗症合并糖尿病的留置胃管的饮食管理.docxVIP

脑卒中后遗症合并糖尿病的留置胃管的饮食管理 【摘要】目的：研究分析脑卒中后遗症合并糖尿病留置胃管患者的护理干预方法以及临床价值。方法：选取2018年6月至2020年12月期间收治的脑卒中后遗症合并糖尿病留置胃管患者共计72例，通过随机数字表法，将其划分为两个不同组别，即参照组（n=36，常规护理干预）和实验组（n=36，留置胃管+饮食管理干预），对比两组干预后的并发症发生率与血糖变化情况。结果：实验组并发症发生率11.11%（2/36），与参照组30.55%（11/36）相比明显偏低，组间对比P＜0.05，存在统计学意义；干预后，实验组的空腹血糖、餐后2小时血糖相较于参照组明显偏低，组间对比P＜0.05，存在统计学意义。结论：在脑卒中后遗症合并糖尿病留置胃管临床护理干预中，通过采取留置胃管联合饮食管理护理干预手段，可降低患者并发症的发生概率，调节患者血糖情况，使患者生活品质得到良好改善。 【关键词】脑卒中后遗症；糖尿病；留置胃管；饮食管理 Diet management of indwelling gastric tube with sequelae of stroke and diabetes Yang Li The Third Peoples Hospital of Taizhou City, Taizhou, Jiangsu 225321 【Abstract】Objective: To study and analyze the nursing intervention methods and clinical value of patients with stroke sequelae and diabetes indwelling gastric tube. Method: A total of 72 patients with stroke sequelae and diabetes indwelling gastric tube were selected from June 2018 to December 2020. They were pided into two different groups by random number table method, namely the reference group (n= 36. Routine nursing intervention) and the experimental group (n=36, indwelling gastric tube + diet management intervention), compare the complication rate and blood glucose changes after the intervention between the two groups. Results: The complication rate of the experimental group was 11.11% (2/36), which was significantly lower than that of the reference group 30.55% (11/36). The comparison between groups was P0.05, which was statistically significant; after intervention, the experimental group’s Fasting blood glucose and blood glucose 2 hours after a meal were significantly lower than those in the reference group. The comparison between groups was P0.05, which was statistically significant. Conclusion: In the clinical nursing intervention of indwelling gastric tube with sequelae of stroke and diabetes, the nursing intervention of indwelling gastric tube combined with diet management can reduce the incidence of complications, regulate the blood sugar of patients, and improve the quality of life