目的 考察中药熏洗联合穴位按摩双下肢对糖尿病周围神经病变(DPN)患者预后的影响.方法 以2021 年 2 月至2022 年10 月在盐城市中医院接受诊治的120 例DPN患者作为研究对象,根据干预方式的不同分为对照组(60 例)和观察组(60 例).对照组给予常规干预方式,观察组给予中药熏洗联合穴位按摩双下肢.比较2 组在不同时间点的血糖水平、病情严重程度、神经传导速度,以及不良反应发生情况.结果 2 组在干预2 个月后的糖化血红蛋白、餐后2h血糖和空腹血糖水平,以及多伦多临床评分系统各维度评分均低于干预前和干预1 个月,腓总感觉神经、运动神经及胫感觉神经和运动神经的传导速度均快于干预前和干预1 个月后,且干预1 个月后均优于干预前;观察组在干预1 个月和2 个月后的各项指标均较同期对照组更优,均存在统计学差异(P均<0.05).观察组的不良反应总发生率与对照组相比,差异无统计学意义(P>0.05).结论 中药熏洗联合穴位按摩双下肢可降低DPN患者的血糖水平,改善其下肢运动神经和感觉神经传导速度,有效减轻其病情的严重程度,且安全性较高.

目的 探讨团队管理模式对老年糖尿病患者自我管理及血糖控制的干预效果.方法选取2018年1-12月我院内分泌科收治的老年糖尿病患者86例,采用随机数字表法将其分为观察组及对照组,各43例.对照组行糖尿病常规护理,观察组实施团队管理模式,比较2组患者疾病知识知晓率、治疗依从性、血糖控制效果、患者自我管理能力及生活质量.结果 干预后观察组疾病知识知晓率、饮食依从率、运动依从率、用药依从率及血糖控制有效率均高于对照组(P＜0.05).观察组自我管理能力及生活质量评分均高于对照组(t＝16.346,P＜0.001;t＝14.446,P＜0.001).结论团队管理模式能有效提高老年糖尿病患者自我管理能力及治疗依从性,有利于血糖控制,提高患者生活质量.

目的 观察补气行瘀散结法配合针灸治疗糖尿病膀胱病(DCP)的临床疗效及护理措施.方法 将52例DCP患者分成治疗组和对照组各26例,两组均按统一治疗标准控制血糖.治疗组采用补气行瘀散结法配合针灸治疗,中药汤剂每日1剂,配合针灸治疗,每日1次,同时给予系统的科学护理.对照组采用甲钴胺0.5mg tid;维生素B110mg tid口服,给予常规护理.治疗、护理4周观察疗效.结果 治疗组治疗后临床症状、膀胱残余尿量均明显改善,总有效率达88.5%,对照组总有效率50.0%,P<0.01,有显著性差异.无不良反应.结论 补气行瘀散结法配合针灸治疗DCP安全、有效.

Objective To explore the construction of nurse hierarchical training management system based on the standardization of PDCA continuously improve the effect of nurse training. Methods The PDCA principle is applied to the nurse training management system, so as to make the nurse management more standardized, and the satisfaction rate were compared before and after training. Results By constructing a hierarchical management system, the degree of nurse satisfaction with special training increased, the rate of satisfaction was 98.1%. Conclusion The construction of standardized nurse hierarchical training management system based on the mode of PDCA can make all aspects of the training process effectively implemented, which is conducive to improving the quality of teaching.

目的探讨老年糖尿病采用中西医结合护理方案对预后影响。方法选取本院收治老年糖尿病100例,依据入院顺序随机分为观察组与对照组各50例,展开对比研究。结果观察组干预后血糖指标改善优于对照组,护理满意度高于对照组,并发症率低于对照组,差异均有统计学意义（P＜0.05）。结论老年糖尿病患者运用中西医结合护理方案,可显著改善预后,确保临床护理水平,并保障患者生命安全。

目的:探讨肝硬化腹水行自体腹水回输的护理要点及效果。方法:对36例肝硬化腹水患者通过腹水超滤治疗仪行自体腹水超滤浓缩回输术,做好患者的准备、严密观察生命体征变化、控制腹水的引流及超滤速度。36例患者行腹水回输均顺利完成,腹水压迫症明显改善。结论:自体腹水浓缩回输简单易行,安全有效,加强术前、术中、术后的护理可确保治疗顺利进行。

Objective:To investigate the effect of fumigation and washing with Chinese herbs in treatment of parotitis.Methods:Sixty sick children with parotitis were randomly divided into control group and treatment group,the treatment group was given the Chinese and Western medicine treatment and fumigate and wash with Chinese herbs in testis,the control group received routine nursing intervention in Western medicine treatment and nursing intervention,and given the follow-up after cure for two weeks.Then the effects were evaluated in two groups.Results:The effective rate in the two groups of sick children with parotitis was compared,the difference was statistically significant(P0.05).Conclusion:Fumigation and washing with Chinese herbs in testis for children with parotitis,not only avoids the recent pain for the children complicated with orchitis,also avoids testis atrophy and long-term infertility of terminally ill and the long term testicular tumor which is caused by parotitis complicated orchitis.

目的观察指休位手垫(以下简称手垫)在患儿手背静脉穿刺中的应用效果。方法将4500例采用手背输液2～7岁患儿,随机分为两组,对照组2242例,观察组2258例。对照组采用传统穿刺法输液,观察组采用手垫输液。结果与对照组相比,观察组成功减少了患儿重复穿刺率,减轻了患儿痛苦,节省了护理人员的工作时间,避免了医用材料的浪费,患者家属满意率高达99.99%。结论手垫在临床应用中效果良好。