系统化生活方式管理在糖尿病合并高血压脑出血患者中的应用

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[中图分类号]R47 [文献标识码]A [文章编号]1672-4062（2026）02（b）-0110-04

Application of Systematic Lifestyle Nursing Management in Diabetic Patientswith Hypertensive Cerebral Hemorrhage

NIANTingting，FANGYan

1.Neurointensive Care Unit，Liaocheng Brain Hospital，Liaocheng 252Ooo，Shandong，China;2.PainRehabilitatior Clinic，Liaocheng Brain Hospital，Liaocheng 252Ooo，Shandong， China

[Abstract] Objective To explore the application valueof systematic lifestyle management in patients with diabetes melitus complicatedwith hypertensivecerebral hemorrhage.MethodsAtotal of8O patientswith diabetesmelitus complicated with hypertensive cerebral hemorrhageadmitted toLiaocheng Brain Hospitalfrom August2O23 toApril 2024 wereconvenientlyselectedastheresearch objects.According todiferent nursing methods，theywere divided into control group and observation group，with 40 cases in each group.The control group received routine nursing， while theobservation group implemented systematic lifestyle management.The timeof blood glucose levelreturning to normal，the health habitsof hyperglycemia，andtherecoveryofblood pressureat1month offolow-upwerecompared between the two groups.Results The fasting blood glucose，2-hour postprandial blood glucose and glycated hemoglobinAlc compliance timeinthe observation group were shorter than those in thecontrol group，and the diferences were statistically significant （all P<0.05 ）.After nursing，the scores of low-salt and low-fat diet，proper exercise，no smoking and alcohol，regular blood pressure，blood glucoseandregular medication，total scores in theobservation group were higher than those in the control group，and the diffrences were statistically significant （all P<0.05 ）. At 1 month of follow-up，the normal rates of random blood pressure，offce blood pressure and ambulatory blood pressure in theobservationgroup were higherthanthose inthecontrol group，andthediferences were statisticallsignificant （all P<0.05 ）.Conclusion Systematic lifestyle nursing management can ensure thestabilityof blood glucose and blood pressure in patients with diabetes melitusand hypertensive cerebral hemorrhage，and promote the developmentof healthy living habits.

[Keywords]Systematic lifestyle; Nursing management; Diabetes mellitus;Hypertension; Encephalorrhagia

糖尿病和高血压均可能诱发血管内皮结构与功能改变，使血管壁变得脆弱[，增加血管出血风险，从而引发脑出血，还可造成脑微循环障碍，使脑部血液供应不足，进一步加重脑缺血缺氧改变。（剩余5483字）