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目的探究综合护理应用于乙肝肝硬化合并有糖尿病患者的临床疗效。方法将本院2013年6月至2015年1月接收的乙肝肝硬化合并糖尿病60例作为研究对象。按入院先后分为两组,各30例,对照组实行常规护理,实验组在对照组的基础上实行综合护理,比较两组护理后并发症发生情况及肝功能血糖水平变化情况。结果护理后实验组球蛋白、谷草转氨酶、谷丙转氨酶水平显著低于对照组,组间比较差异显著(P<0.05);观察组空腹血糖及餐后血糖水平显著低于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率为6.67%,明显低于对照组的23.33%,差异具有统计学意义(P<0.05);实验组护理满意度为93.33%,明显优于对照组的73.33%,差异具有统计学意义(P<0.05)。结论将综合护理应用于乙肝肝硬化合并有糖尿病患者中,治疗效果显著,能明显改善其肝功能,降低血糖水平,应给予推广。
Objective To investigate the clinical effect of comprehensive nursing in patients with hepatitis B cirrhosis complicated with diabetes mellitus. Methods Sixty cases of hepatitis B cirrhosis with diabetes mellitus received from June 2013 to January 2015 in our hospital were studied. The patients were divided into two groups according to admission, 30 cases in each group. The control group was given routine nursing care. The experimental group was given comprehensive nursing care based on the control group. The complication occurred after the nursing care and the changes of liver function and blood glucose level were compared between the two groups. Results The levels of globulin, aspartate aminotransferase and glutamic-pyruvic transaminase in the experimental group were significantly lower than those in the control group (P <0.05). The fasting blood glucose and postprandial blood glucose level in the observation group were significantly lower than those in the control group (P0.05) .The incidence of complications in the observation group was 6.67%, which was significantly lower than that in the control group (23.33%), the difference was statistically significant (P0.05). The nursing satisfaction of the experimental group was 93.33% The control group of 73.33%, the difference was statistically significant (P <0.05). Conclusion The comprehensive nursing application in hepatitis B cirrhosis with diabetes mellitus, the treatment effect is significant, can significantly improve its liver function, lower blood glucose levels should be given to promote.