四川医学Issue(4)：506-508,509,4.
糖尿病肾脏疾病住院患者初诊时的临床分析及护理
Clinical Characteristics Analysis and Nursing of the Patients with Diabetic Kidney Disease
刁永书 1黄佑群 1马登艳 1温月 1冯延欢 1付平 1刘芳1
作者信息
- 1. 四川大学华西医院肾脏内科，四川 成都610041
- 折叠
摘要
Abstract
Objective To investigated the clinical status of patients with diabetic kidney disease ( DKD) at first hospitali-zation, so as to provide reference for clinical nursing practice. Methods Clinical data of 1242 patients with DKD admitted to our hospital from January 2003 through December 2008 were collected, these patients were followed up. The clinical characteristics of these patients were summarized and the relevant indicators were analyzed. Results ANOVA analysis indicated that there was sig-nificant difference in diabetic course, levels of hemoglobin, serum albumin, creatine,fasting blood glucose, postprandial hypergly-cemia, glycosylated hemoglobin, mean arterial pressure, systolic pressure and diastolic pressure compared among patients in three Mogensen stages(P<0. 05). And blood glucose level reduced as the Mogensen stage progressed. Poor glycemic control was obvi-ous in patients in Ⅲ and Ⅳ stages, and hypoglycemia happened more frequently in the Ⅴstage patients. Moreover, poor blood pressure control was also seen in patients at Ⅴstage. Careful nursing should consider the clinical features of patients in different stages and the effective management of blood pressure、blood glucose should be carried out so as to decelerate the procession and improve the quality of life. Conclusions Early diagnosis and treatment with respective strategies according to the different clinical characteristics ofthe patients in different stages may improve the self-management and the outcome of DKD patients.关键词
糖尿病肾脏疾病/Mogensen分期/临床特点/护理Key words
diabeic kidney disease/Mogensen stage/clinical feature/nursing分类
医药卫生引用本文复制引用
刁永书,黄佑群,马登艳,温月,冯延欢,付平,刘芳..糖尿病肾脏疾病住院患者初诊时的临床分析及护理[J].四川医学,2014,(4):506-508,509,4.
