癫痫持续状态是神经内科的急症之一,是指一次癫痫发作持续30分钟以上或连续多次发作间期意识或神经功能未能恢复至正常水平,若处理不及时,轻者可造成不可逆的损害重者将危及生命.此时突显护理工作的重要性,以下将其护理措施作以总结.

Objective To research the effects of short-term intensive insulin treatment onre-ganing the sensitivityof sulfonylureas in diabetes patients.Methods Thirty patients form outpatient and emergency department,includ-ingl2male andl8 female,who took regular-dose sulfonylureas but was high blood glucose lever,were selected tosus-pend the sulfonylureas~treatment and were given theBLAsp30 to control the blood glucose level for three months,then they were stopped theBLAsp30 and took the same sulofnylureas used before.Results The average fasting blood glucose,(FBG)was(9.4±7.5)mmol/Land the average postprandial2h boodglucose(PG2h)(or random blood gloucose)was(14.2±7.2)mmol/Lin3 months betore stopping the sulfonylureas.The average FBGwas(5.7±0.7)mmol/Land-PG2hwas(7.2±1.4)mmol/Lat the beginning of the insulin getting the blood glucose under control The average FBGwas(6.0±0.8)mmol/Land PG2hwas(7.8±1.2)mmol/Lduring the insulin treatment.the averageFBGwas(6.1±0.6)mmol/LandPG2hwas(7.7±1.3)mmol/Lat the end of the insulin treatment The average FBGwas(6.5±0.5)mool/LandPG2hwas(8.1±0.8)mool/Lwhen continuing the sulfonylureas treatment in one months.It inereased significantly to compare the bloodglucose before the treatment of insulin to that after the treatment of insulin(P<compare the blood glucose before the treatment of insulin to that after the treatment of(P<0.05).Conclusion short-term intensive insulin treatment restores the patinents sensitiveess to sulfonylureas probbiy.

糖尿病是老年人常见的代谢、内分泌疾病,在老年糖尿病中,约70%的需要药物治疗因为老年患者具有特殊生理病理特征,所以在治疗过程中,若不注重合理选择药物,常会发生严重且不易纠正的低血糖反应.

糖尿病慢性并发症糖尿病肾病的发病学基础是糖尿病微血管病变,目前,国内外均致力于寻找能够有效地治疗糖尿病微血管病变的药物,血管紧张素转换酶抑制剂(ACEI)的临床应用为糖尿病肾病开拓了一个新的治疗前景.自1995年以来收治早期糖尿病肾病82例,现分析如下: 1临床资料和方法 1.1对象根据WHO的糖尿病诊断标准,确诊糖尿病32例,男15例,女17例,年龄平均50±6岁,病程1～10年,Ⅰ型糖尿病2例,Ⅱ型糖尿病20例.在没有发热、感染、心力衰竭、尿路感染、肾炎、糖尿病酮症酸中毒情况下尿常规检查无蛋白尿,但查尿微量白蛋白均增高以确诊为早期糖尿病肾病. 1.2方法每日治予开搏通0.25mg 1次/d口服,疗程8周.治疗前,治疗后的2周、4周、6周、8周观察尿微量蛋白、血糖、血压等观察指标.