目的 观察2型糖尿病胰岛素泵强化治疗效果.方法 该院2018年3月—2019年3月收治的74例2型糖尿病患者为该次研究对象,按照是否行胰岛素泵强化治疗将所有患者分为对照组(37例:未行胰岛素泵强化治疗)与实验组(37例:行胰岛素泵强化治疗),比较两组患者治疗效果.结果 实验组患者护理干预后症状自评表(SCL-90)以及依从性量表(Morisky)得分均优于对照组(P<0.05).实验组患者护理干预24 h后、1周后血糖达标率均优于同期对照组(P<0.05).实验组患者住院治疗过程中不良反应发生率明显低于对照组(P<0.05).结论 2型糖尿病患者胰岛素泵强化治疗效果明显优于未行胰岛素泵强化治疗效果.

目的:探讨老年慢性阻塞性肺病对骨质疏松的影响,为预防老年骨质疏松引发的骨折提供理论依据.方法:选择老年男性慢性阻塞性肺病患者159例,依据GO LD分级,观察年龄、体重指数(BM I)、吸烟及使用糖皮质激素情况,测定肺活量(VC)、第1秒用力呼气量(FEV1)、用力肺活量(FVC)、FEV1/FVC%,以及双能X线吸收骨密度测定仪测定胸椎、腰椎、股骨颈和大转子的骨密度(BMD),并进行相关分析.结果:GOLD4期较其GOLD 1~3级患者有明显的骨质疏松(P<0.05),应用糖皮质激素的患者比不用患者骨质疏松发生率高(P<0.05、P<0.01),低体重指数骨质疏松的发生率高于正常体重指数患者(P<0.05).结论:对于老年患者缺氧、应用糖皮质激素、低体重指数是导致CO PD合并骨质疏松发生率升高的重要因素.

Objective To investigate the relationship between troponinⅠ( TnI) and creatinine, glomerular filtration rate, C-reactive protein and other related factors in elderly patients with type 2 diabetes mellitus complicated with chronic renal failure. Methods Sixty elderly male patients were selected, with an average age of 73 ± 11 years old, and the rate of glomerular filtration was 44. 73 ± 10. 56 ml/(min·1. 73 m2). The patients were divided into stage 3 group and stage 4 group according to the renal function. The level of TnⅠ, glomerular filtration rate, blood lipids, left ventricular mass, hemoglobin and other indicators were detected and compared between the two groups. Results There were significant differences in age, weight, urea nitrogen, creatinine, triglyceride, C-reactive protein, glomerular filtration rate, hemoglobin, left ventricular mass index and renal resistance index between stage 3 group and stage 4 group. Furthermore, the patients were divided into increased group and normal group according to the levels of TnⅠ. Single factor analysis showed that the levels of total&nbsp;cholesterol, hemoglobin, C-reactive protein, renal resistance index, uric acid, and left ventricular mass index were of significant differences between increased group and normal group both in stage 3 or stage 4. TnⅠ increased with the increasing level of creatinine, C-reactive protein and uric acid. Conclusions TnⅠ is not only a marker of myocardial injury in patients with type 2 diabetic nephropathy complicated with chronic renal failure, but also an indicator of residual renal function and chronic renal failure.

目的 探讨脑卒中患者对脑卒中认识及健康促进行为的相关性.方法 采用一般资料调查表、脑卒中认知问卷、生理机能评价量表、健康促进生活形态测评量表对312例脑卒中患者进行调查.结果 脑卒中相关知识总分为(11.21 ±5.09)分.健康促进生活形态得分为(14.65 ±0.75)分.教育水平和诊断时间与脑卒中知识得分及健康促进行为得分均呈正性相关(P＜0.01或P＜0.05).结论 脑卒中患者的脑卒中相关认知水平较低、健康促进行为处于中等水平,护理人员应密切观察门诊和住院治疗的脑卒中患者的病情变化,避免脑卒中复发,提高患者的生活质量.