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1、NursingRoundsofType2diabetesmellitus2型糖尿病的护理查房EndocrinologyDepartment内分泌科Goodafternooneveryone: Welcometoournursingrounds，IamWenXiaHe,theheadnurseofendocrinologydepartment.Today,thepeopletakepartinourNursingroundsareseniornurseLiLiYu,primarynurseQiTang,LuFenZhang,XiaZhao,PingHe,andBeddo
2、ctorHuiJieYang.今天,参加这次护理查房的有护师余莉利，护士唐琦、张芦芬、赵霞、何萍以及床位医生杨慧杰.Ournursingroundsisseparatedintofourparts：thefirst,Specializedknowledge,thesecond,Casepresentation,thethird,Situationconversation,thefourth,Nursingplan.Now，let’sbegin.Let’sbeginfromthefirstpart: Specializedknowledge.PleaseletLiLii
3、ntroducethebasicknowledgeaboutdiabetes.DoYouknowaboutdiabetes你了解糖尿病吗什么是糖尿病？糖尿病是身体不能分泌足够的胰岛素或者细胞对体内胰岛素产生抵抗的一种代谢性疾病.Whatisdiabetes?Diabetesisagroupofmetabolicdiseasesresultingfromthatthebodydoesnotproduceenoughinsulin,thebodydoesnotrespondtotheinsulin,orboth.Diabetesmellitusischaracterize
4、dbychronichyperglycemia糖尿病以慢性高血糖为特征Theclassicalsymptomsofdiabetes糖尿病的典型症状：Polyuria多尿Drink多饮Polyphagia多食Weightloss体重减轻糖尿病的分型：1型糖尿病2型糖尿病妊娠糖尿病特殊类型糖尿病TheTypeofDiabetes＆Type1diabetesmellitus＆Type2diabetesmellitus＆Gestationaldiabetesmellitus＆Specifictypesofdiabetes糖尿病的诊断标准诊断标准静脉血浆葡萄糖水平（mmol/L
5、）1.糖尿病症状加随机血糖≥11.1或2.空腹血糖（FPG）≥7.0或3.葡萄糖负荷后2h血糖≥11.1无糖尿病症状者，需改日重复检查ThediagnosticcriteriafordiabetesHavethesymptomsofdiabetesandcomplywithanyofthefollowingpoints:☻Anytimetheplasmaglucoselevelhigherthanequalto11.1mmol/L☻Fastingplasmaglucoselevelshigherthanorequalto7.0mmol/L☻InOGTTtest,2hP
6、Glevelhigherthanorequalto11.1mmol/L急性并发症：糖尿病酮症酸中毒高渗性非酮症糖尿病昏迷感染ThemajorcomplicationsofdiabetesAcutecomplications：▲Diabeticketoacidosis▲Hyperosmolarnonketoticdiabeticcoma▲Infection慢性并发症：血管病变神经病变糖尿病足Chroniccomplications：▲Vascularlesions▲Neuropathy▲Diabeticfoot什么人易患糖尿病۞糖调节受损者۞年龄≥40岁۞超重、肥胖人群
7、۞有糖尿病家属史۞有高血压、高血脂、心脑血管疾病的患者Whotendstosufferfromthediabetes♦Impairedglucoseregulation.♦Age≥40yearsold.♦Theoverweightpeople,Theobesepeople.♦Familyhistoryofdiabetes.♦Peoplewithhighbloodpressure,highcholesterolandcardiac-cerebralvasculardiseases.Allright,let’sbeginthesecondpart:Cas
