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目的:探讨糖尿病合并白内障患者的针对性护理措施及效果。方法:选择南方医科大学新会附属医院眼科2013年5月至2015年12月收治的127例糖尿病合并白内障患者,采用数字表随机法分为两组,均行超声乳化和人工晶状体植入术,对照组60例行常规护理,观察组67例根据糖尿病特性给予针对性护理干预。比较两组治疗效果、血糖水平及并发症发生情况。结果:观察组总有效率为97.01%,对照组为88.33%,组间比较,差异具有统计学意义(P<0.05)。观察组术后空腹血糖水平低于对照组,血糖达标时间、住院时间短于对照组,组间比较,差异具有统计学意义(P<0.05)。观察组并发症发生率为17.91%,对照组并发症发生率为41.67%,组间比较,差异具有统计学意义(P<0.05)。结论:根据糖尿病特性采取针对性护理可以平稳、快速、有效的降低血糖,降低手术风险和减少并发症的发生。
Objective: To investigate the targeted nursing measures and effects of diabetic patients with cataract. Methods: A total of 127 patients with diabetes mellitus and cataract who were admitted to Xinhui Hospital of Southern Medical University from May 2013 to December 2015 were randomly divided into two groups: phacoemulsification and intraocular lens implantation, Control group of 60 routine nursing, observation group of 67 patients according to the characteristics of diabetes to give targeted nursing intervention. The curative effect, blood sugar level and complication of the two groups were compared. Results: The total effective rate was 97.01% in the observation group and 88.33% in the control group. There was significant difference between the two groups (P <0.05). The fasting blood glucose level in the observation group was lower than that in the control group. The blood glucose compliance time and hospitalization time were shorter than those in the control group. There was significant difference between the two groups (P <0.05). The incidence of complications in the observation group was 17.91%, and the incidence of complications in the control group was 41.67%. The differences between the two groups were statistically significant (P <0.05). Conclusion: According to the characteristics of diabetes to take targeted care can be smooth, rapid and effective in lowering blood glucose, reduce the risk of surgery and reduce the incidence of complications.