论文部分内容阅读
目的探讨糖尿病神经病变患者昼夜血压变化及相关护理措施。方法 2011年5月至2012年5月期间,我院诊治的60例血压正常的糖尿病患者,被分为糖尿病无神经病变组和糖尿病神经病变组,每组各30例,以及30例健康体检者作为正常对照组,于白昼和夜间测量各组患者的血压,期间做好相关的观察和护理,对每组患者的昼夜收缩压差、昼夜舒张压差,以及卧立位压差,进行观察和比较。结果与正常对照组相比,糖尿病无神经病变组和糖尿病神经病变组患者的昼夜收缩压差、昼夜舒张压差明显降低,卧立位压差明显升高,P<0.05为差异有统计学意义。与糖尿病无神经病变组相比,糖尿病神经病变组昼夜收缩压差、昼夜舒张压差,以及卧立位压差,均值有所降低,但P>0.05为差异无统计学意义。结论对于糖尿病神经病变患者,除了常规测量血压外,还要注意昼夜血压变化,以及卧立位血压变化情况,并做好相应观察和护理。
Objective To investigate the changes of diurnal blood pressure and related nursing measures in patients with diabetic neuropathy. Methods From May 2011 to May 2012, 60 normotensive diabetic patients diagnosed and treated in our hospital were divided into diabetic neuropathy group and diabetic neuropathy group, 30 cases in each group, and 30 healthy subjects As a normal control group, blood pressure was measured during the day and night in each group, and related observations and nursing were made during the day and night. The diurnal and diastolic blood pressure, diurnal diastolic blood pressure, and supine pressure were observed in each group Compare Results Compared with the normal control group, the diurnal and diastolic pressure differences, diastolic pressure difference between day and night and the pressure difference between horizontal position and horizontal position in patients with diabetic nephropathy and diabetic neuropathy were significantly higher, P <0.05 was considered statistically significant . Compared with diabetic patients without neuropathy, diabetic neuropathy group had no significant differences in daytime and nighttime systolic pressure, diurnal diastolic pressure, and supine pressure difference, but the difference was not statistically significant (P> 0.05). Conclusion In patients with diabetic neuropathy, in addition to routine measurement of blood pressure, but also pay attention to diurnal blood pressure changes, as well as lying position blood pressure changes, and make the appropriate observation and care.