Influences of blood glucose excursion on the progression of chronic hepatitis B patients and nursing intervention
10.3760/cma.j.issn.1674-2907.2016.01.020
- VernacularTitle:血糖漂移度对慢性乙型肝炎患者病情进展的影响及护理
- Author:
Xuemei YUAN
1
;
Xia WANG
;
Lihui CHEN
;
Jie ZHENG
Author Information
1. 214005,江苏省无锡市第五人民医院肝科
- Keywords:
Hepatitis B;
chronic;
Blood glucose excursion;
Disease progression;
Nursing
- From:
Chinese Journal of Modern Nursing
2016;22(1):77-80
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influences of blood glucose excursion on the progression of chronic hepatitis B patient, and to explore the nursing intervention methods. Methods The study investigated 40 cases of chronic hepatitis B patients who admitted to the Fifth People′s Hospital of Wuxi from July 2012 to December 2014. After three days, with the help of the real-time continuous glucose monitor TA-DRb, the patients were divided into three groups including: high blood glucose excursion group ( group A, n =24 ); none blood glucose excursion group (group B, n=4);and low blood glucose excursion group (group C, n=12). The testing items included serum total bilirubin (TBiL), prothrombin time (PT), serum albumin (ALB), choline esterase ( CHE) and the level of insulin. Results In group A and C, TBiL and the level of insulin were higher;PT was longer;ALB and CHE were lower, compared with group B (P<0. 05). After the nursing intervention, TBiL, PT and the level of insulin reduced;ALB and CHE increased (P<0. 05). Conclusions The prognosis of patients with chronic hepatitis B is affected by abnormal blood glucose, and the corresponding treatment and nursing care according to blood glucose excursion can effectively control the progression of the illness.
