α-硫辛酸治疗2型糖尿病周围神经病变52例分析

糖尿病周围神经病变（DPN）是2型糖尿病常见的慢性并发症之一。一般在诊断糖尿病10年内患者常有明显的临床糖尿病神经病变,其发生率与病程相关。神经功能检查发现60％～90％的患者有不同程度的神经病变,其中30％～40％的患者无症状。有症状的患者以肢端感觉异常,并可伴有深感觉障碍。作者自2011年1月至2012年12月对本科52例DPN患者应用强氧化剂仪一硫辛酸治疗,取得较好疗效,现报道如下。     

老年糖尿病周围神经病变病因分析及护理对策

糖尿病周围神经病变（DNP）与糖尿病视网膜病变、糖尿病肾病并称为“糖尿病三大慢性并发症”。临床上有肢体麻木、疼痛、感觉异常、肌肉萎缩或完全瘫痪等各种表现。有报道．糖尿病史10年以上发病率高达41．9％，30年病史的发病率为70％。顾菁华等调查发现，120名糖尿病患者中有32．8％的患者肢体活动减退，40％患者步态出现变化。DNP不但引起糖尿病患者死亡率和致残率的升高，严重影响病人生命质量，还带来复杂的护理、医疗等问题。因此，提高糖尿病患者自我防范意识．指导患者掌握自我监控知识．减轻或延缓DNP的发生．有着极其重要的意义。下面就DNP发生的原因及护理对策，作简要综述。     

654-2、弥可保注射液和葡萄糖酸钙注射液联合治疗糖尿病痛性周围神经病变(DPN)临床观察

糖尿病神经病变是糖尿病中最常见和最复杂的并发症,尤其是慢性感觉运动性的对称性糖尿病周围神经病变(DPN)引起的疼痛,对患者的生活质量造成极大影响,重症痛是糖尿病患者自杀的主要因素.本文将报道一种新的治疗方案的临床观察.     

糖尿病周围神经病变的护理保健

糖尿病周围神经病变是糖尿病常见的并发症之一 ,其临床表现复杂 ,病种繁多。以远端原发性感觉神经病变和植物神经病变最常见[1 ] 。四肢麻木、疼痛、深浅感觉消失、胃轻瘫、神经性膀胱等给患者身心造成极大痛苦。我科在整体护理的基础上 ,行使护理保健 ,配合医生三联续贯疗法治疗糖尿病周围神经病变取得一定疗效 ,现将护理体会报告如下。1　资料根据 1 985年ＷＨＯ对糖尿病 (ＤＭ )诊断标准 ,收集我院2 0 0 0年 5月～ 1 0月之间糖尿病周围神经病变患者 53例 ,男2 9例 ,女 2 4例 ,年龄 33～ 86岁 ,病程 2～ 1 6年。其中Ⅰ型糖尿病 1 2例 ,Ⅱ…     

α-硫辛酸治疗糖尿病周围神经病变的临床观察

糖尿病发病率日益增加,其并发症越来越受到人们的关注,慢性感觉运动性糖尿病周围神经病变,常称为糖尿病周围神经病变(DPN),约50%的糖尿病患者罹患此并发症,是糖尿病神经病变最常见类     

糖尿病周围神经病变的护理保健

糖尿病周围神经病变是糖尿病常见的并发症之一,其临床表现复杂,病种繁多.以远端原发性感觉神经病变和植物神经病变最常见[1].四肢麻木、疼痛、深浅感觉消失、胃轻瘫、神经性膀胱等给患者身心造成极大痛苦.我科在整体护理的基础上,行使护理保健,配合医生三联续贯疗法治疗糖尿病周围神经病变取得一定疗效,现将护理体会报告如下.     

依帕司他与弥可保联合治疗糖尿病周围神经病变疗效观察

糖尿病周围神经病变（DPN）是糖尿病常见并发症之一,糖尿病诊断后的十年内常有明显的临床糖尿病神经病变的发生,糖尿病神经病变是最常见的糖尿病慢性并发症和主要致残因素之一。临床表现有局部神经病变,弥漫性多神经病变,糖尿病自主神经病变。临床症状多以持续性疼痛、麻木及感觉减退为主要表现,给患者带来极大痛苦,严重影响患者的生活质量。本院自依帕司他联合弥可保应用临床治疗DPN以来,效果满意,现报告如下。 .     

依帕司他与弥可保联合治疗糖尿病周围神经病变疗效观察

糖尿病周围神经病变(DPN)是糖尿病常见并发症之一[1], 糖尿病诊断后的十年内常有明显的临床糖尿病神经病变的发生,糖尿病神经病变是最常见的糖尿病慢性并发症和主要致残因素之一.临床表现有局部神经病变,弥漫性多神经病变,糖尿病自主神经病变.临床症状多以持续性疼痛、麻木及感觉减退为主要表现,给患者带来极大痛苦,严重影响患者的生活质量.本院自依帕司他联合弥可保应用临床治疗DPN以来,效果满意,现报告如下.     

1例糖尿病性颅神经病变患者的护理

糖尿病周围神经病变是糖尿病最常见的并发症之一,其中以远端对称性多发性神经病变最多,而颅神经病变最少。据报道,糖尿病患者中糖尿病性周围神经病变的发病率为21．8％～85％,其中糖尿病性颅神经病变占0．7％。1．0％。糖尿病性颅神经病变临床表现为复视、眼外肌麻痹,可伴有头痛、眼部胀痛。颅神经中以动眼神经、外展神经及面神经最易受累,单侧最常见,双侧少见。     

糖尿病患者感觉神经功能与血管病变的关系

周围神经病变是糖尿病最常见的并发症之一，糖尿病神经病变的确切发病机制尚未阐明，目前认为是代谢因素、血管因素和自身免疫因素共同作用的结果。微血管疾病可能在引起和加重糖尿病神经病变方面起重要作用。我们应用肌电图对糖尿病患者感觉神经功能进行检测，并作颈动脉、下肢动脉B超检查，以探讨糖尿病患者感觉神经功能与动脉病变的关     

Nursing Interventions for a Chronically Ill, Nonadherent Teenager With a Psychiatric Diagnosis

ISSUES AND PURPOSE To describe the complex care of an adolescent with chronic psychiatric and medical problems. CONCLUSIONS The nonadherent, self‐abusing, adolescent was empowered to progress developmentally, as well as medically. PRACTICE IMPLICATIONS A planned team approach helped the adolescent become more developmentally appropriate and independent in self‐care. The care plan designed by nursing staff included a change in nursing focus, creative problem solving, team nursing, and utilization of multidisciplinary resources.     

糖尿病病人自护能力影响因素的研究进展

介绍糖尿病病人自我护理需求及自我护理水平,社会人口学因素、疾病与治疗因素、心理社会因素是影响病人自我护理能力的因素;提出护理人员应对病人进行正确评估,制定个性化的护理方案,以提供帮助和指导,减少自我护理障碍,提升病人自我护理水平,提高其生活质量。     

合并精神分裂症糖尿病患者实施护理干预探讨

目的探讨适合于合并精神分裂症的糖尿病患者的护理措施。方法 33例合并精神分裂症的糖尿病患者在常规降糖药物治疗的同时辅以综合护理干预措施 ,观察患者的配合治疗程度和血糖变化。结果 护理干预后病人治疗的依从性明显提高 ,血糖由 (9 5 0± 3 2 4)mmol/L下降至 (6 78± 2 61)mmol/L(P <0 0 5 )。 结论 合并精神分裂症的糖尿病患者进行综合护理干预是必要的     

预防护患纠纷重视护士情商的培养

随着时代的发展,人们的自我保健意识及法律意识都在增强.病人到医院就医,不论何种原因引起不满都可能产生医疗纠纷.从目前的医疗纠纷中可以看出,医护人员在向患者及家属解释病情或提供建议等方面多一些同情与耐心,多一些策略和技巧,即自我认识能力、自我控制能力及理解他人、处理人际关系的能力强一些,不少纠纷是可以避免或化解的.医护人员如何调整自己的心态,使情绪不受影响,尤其是遇到难处理的病人,如何在短时间内取得病人信任,快速准确地评估病人病情,确定护理方案,通俗明了地解释病情,取得病人的配合和支持,这些都是与高情商分不开的.通过实践证明,护士的情商高低对护理工作可产生直接的影响.     

行ERCP患者的恐惧心理及护理对策

使用自制问卷先后调查了行ERCP的120例患者，发现患者普遍存在恐惧的心态，导致其恐惧的主要因素有：十二指肠镜的直接刺激作用；检查室的环境；检查中医护人员的某些言谈；操作技巧及时间长短等。据此提出相应的护理措施为：术前加强对ERCP一般知识的介绍；改善检查室环境和气氛以缓解患者的紧张、恐惧心理；尽可能减少术中不必要的言谈。调查结果显示，实施以上措施能极大限度地减轻患者术中的恐惧反应，有利于ERCP的顺利进行。     

一体化病房护士工作站系统的应用

目的介绍一体化病房护士工作站系统功能特点及其临床应用体会。方法一体化病房护士工作站系统综合处理和呈现患者医疗、护理数据,使护士能够方便快捷地获取患者的病史、当前状况、治疗计划、医嘱等信息。包括介绍一体化病房护士工作站系统功能、医嘱处理、护理评估、危重患者护理计划和特别护理记录等应用的特点,从软件功能、信息共享、工作流程等层面详细讨论一体化病房护士工作站系统的应用效果。结果新一代护士工作站简化了医嘱处理流程,方便了护理评估和病危患者护理计划的制订,能够实时记录生命体征和护理信息,能够简便、快捷查询患者全面病情资料。结论新一代护士工作站的应用优化了护理流程,提高了护理工作效率,促进了整体护理的开展,对进一步提升护坪质量有明确效果。     

An accountable fistula management treatment plan

An accountable fistula management treatment plan focuses on combining effective medical and nursing treatment with effective and efficient pouching technique and equipment to ensure patient comfort. Small bowel fistula following abdominal surgery can provide challenges in patients' medical and nursing management. This article describes a case study of the successful medical and nursing management of a patient post-abdominal surgery. Within days of surgery a small bowel fistula formed within an abdominal wound. Medical management involved the use of total parenteral nutrition, electrolyte balance management, nil orally and Sandostatin medication. The nursing interventions comprised accurate intake and output measurement, effective and efficient pouching systems and appropriate psychological care. The medical and nursing interventions provided during the healing process are outlined together with the assessment and evaluation of a new innovative wound management pouch. This system proved invaluable in the successful containment of a high small bowel effluent and skin preservation. In an attempt to share best practice a pictorial guide is provided to demonstrate the correct application of the pouching system and technique. This article provides details of an accountable fistula management treatment plan which resulted in the successful spontaneous closure of the small bowel fistula coupled with excellent cost-effectiveness and patient comfort.     

Discrepancy between patients' perspectives,staff's documentation and reflections on basic nursing care

In recent years, Denmark has witnessed an increasing written and oral debate concerning the quality of basic nursing care. The present study is an attempt to characterize basic nursing care in a Danish hospital by collecting data on patient perceptions of their main somatic problems in seven pre-set categories. These data include documentation of patient problems in corresponding problem categories, and the staff's additional knowledge about patient problems. Triangulation of methods was used. Data were collected on 120 patients and from 22 nurses. The patients had 2.3 problems on average: pain (58%) and sleep (43%) were the problems cited most frequently. Only 31% of patients' experienced problems were documented in the nursing records. The nursing staff had more knowledge than was registered in the nursing records. However, one-third of the patients' problems was totally unknown to the nursing staff. From the patients' point of view, essential aspects of basic nursing care are overlooked in daily clinical practice. The findings show that the method employed is suitable for integration of the patients' perspective.     

脑干肿瘤术后合并应激性高血糖患者的护理

目的 探讨脑干肿瘤术后合并应激性高血糖患者的护理方法.方法 对56例脑干肿瘤术后合并应激性高血糖患者的医疗护理措施进行回顾分析.结果 经过针对性的治疗和护理,56例脑干肿瘤术后合并应激性高血糖患者临床治愈48例占86%,好转6例占11%,死于多器官功能衰竭2例占3%.结论 对脑干肿瘤术后合并应激性高血糖患者要尽早进行胰岛素强化治疗,密切观察神志、瞳孔及生命体征变化,同时加强感染、消化道出血等常见并发症的护理,还应重视患者的饮食、心理及康复指导.

Abstract：

Objective To explore nursing methods of postoperative patients with brain stem tumor complicated with stress hyperglycemia. Methods The medical and nursing measures of 56 postoperative patients with brain stem tumor complicated with stress hyperglycemia were analyzed retrospectively. Results Among 56 cases, 48 cases were clinically cured, 6 cases was improved, 2 cases died of multiple organ failure. Conclusions It is especially important to intensify insulin therapy, necessary to closely observe the patients' consciousness, pupils and the change of vital signs. Meanwhile, strengthening nursing on common complications such as infection and gastrointestinal hemorrhage, and paying more attention to patients' dietary, mental state and rehabilitation are also important measures.