mbt zapatos Integrative Medicine with teaching int

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Intern teaching for Integrative Medicine

Female, 14 years). 61 patients with the diagnosis of diabetes are in line with WHO classification criteria, were all positive urine ketone set, in which 18 patients COzCP is 5.0 ~ 17mrr ~ l / L, pH7.080 - 7.292, 61 cases 42 patients with diabetes history, 16 patients with DKA as the initial presentation. 1.2 The retrospective analysis of predisposing factors, 61 cases of DKA in patients with predisposing factors for: (1) 24 cases of improper diet, including 21 cases of binge eating, drinking and in 2 cases, 1 case of excessive restrictions on the staple food; (2) co-infection 19 cases, including 7 cases of pulmonary infection, urinary tract in 6 cases, 3 cases of upper respiratory tract,[link widoczny dla zalogowanych], bile duct in 1 case,[link widoczny dla zalogowanych], 1 case of osteomyelitis,[link widoczny dla zalogowanych], 1 case of diabetic foot; (3) free agents in 18 cases, 8 cases of which irregular medication, disable insulin or hypoglycemic agents in 7 cases, 1 case of pure Chinese herb; (4), 6 cases of mental stress, including 4 cases of overwork, mental tension in 2 cases; (5) other 6 cases, including with pregnancy, 1 case of cerebral infarction 2 cases of thyroid nodules in 1 case, after the kidney hormone synthesis conquest 1 case of secondary diabetes. No obvious incentive in 1. 17 cases in which there is more than 2 incentives. 1.3 Results of the treatment and care through effective, 61 cases of DKA in 58 patients were cured, 1 case of disease progression discharged, 2 patients died, Ketone average number of days lost was 2.3 days. 58 patients improved self-care ability to change the bad behavior and lifestyle, reducing the recurrence rate of DKA. The visit confirmed that the patients recovered except for 1 patient in the recurrence of DKA due to acute gastroenteritis, the 57 patients with no recurrence and good blood glucose control, improved quality of life. 2.1 2 nursing health education of the 19 cases of newly diagnosed diabetic patients, 16 patients with DKA first diagnosis in 8 patients with severe numbness, and 2 cases with cerebral infarction treatment, little is known about patients with diabetes knowledge, diet control, drug therapy misconceptions, and some unscientific method of treatment to delayed treatment, the formation of the incidence of DKA incentives. To this end, we targeted guidance on health education of patients, so patients and their families understand the causes and complications of harm, but also to strong word of diabetes may be preventable and curable, so that patients receive treatment from passive to active participation treatment, and establish long term struggle with diabetes and the confidence to overcome the disease. 2.2 Investigation diet therapy in this group accounted for 39% of poor diet, it should first know how to diet therapy of patients and their families to control the disease, the importance of prevention of DKA, to persuade them to get rid of bad eating habits, smoking cessation Ji Jiu,[link widoczny dla zalogowanych], avoid binge drinking overeating, and it is not blindly restricted staple food, guiding patients according to height, weight, activity levels and glycemic control in close cooperation with doctors, to adjust food intake and diet, in line with the reasonable requirements of a balanced diet, and in accordance with the economic conditions of patients, diet and other types of food selection, recipe design, patients are easy to accept and adhere to the dietary treatment. 2.3 The prevention of infection is high blood sugar important cause of infection in high glucose is conducive to bacterial growth and reproduction; inhibited from phagocytosis and bactericidal effect; inhibition of lymphocytes produce antibodies, so that the body resistance to decline, also due to diabetes vascular complications, slow blood flow, reduced blood supply, nervous malnutrition, the occurrence of tissue ischemia and hypoxia, low immunity, prone to infection 2]. Particularly high incidence in winter and spring, is an important reason for induced DKA, and DKA can reinforce each other, the line into a vicious circle. Actively prevent infection is the key to avoid DKA. Should guide patients to develop good health habits and enhance physical fitness, prevention of infection and injury. 2.4 The correct application of drug inducing caution in patients with inappropriate medication is an important factor in DKA can not arbitrarily change the drug, withdrawal; medicine can only be used as adjuvant therapy, not as a substitute for hypoglycemic agents; not listen to rumors of secret cure diabetes to regular treatment under the guidance of a doctor. Church of patients and their families to use capillary blood glucose meter to monitor blood sugar, urine sugar and insulin self-test method. Families in the hospital for assistance and supervision, and regular follow. 2.5 reduce stress in patients with a correct understanding of the guidance disease, adaptation psychological conflicts, not only do not get too nervous, pessimistic about the future, do not do not care, let matters drift. Avoid fatigue and mental stimulation, under the guidance of doctors to encourage their active participation in the benefit of cultural activities, exchange experiences with patients, family members of patients and encourage participation, care and support of their treatment, to reduce the psychological pressure. 2,6 other cases the event of pregnancy, cerebrovascular accident, surgery, trauma and other accidents, timely referral, under guidance of a doctor to adjust the dose to prevent the occurrence of DKA. 2.7 Guiding patients adhere to write a daily diary record of treatment of blood sugar, urine sugar results. The movement of abnormal sensory and eating, as adjust the amount of drugs when the doctor visits, medication changes
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