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静脉滴注甘露醇注射液所致静脉炎的预防

20%甘露醇是一种高渗透性的利尿脱水剂，由于其起效快，效果显著等优点被广泛运用于临床，在防止脑疝形成、挽救患者生命方面起到了至关重要的作用。但因其渗透压高，加上临床使用中要求甘露醇快速滴注，极易对患者的血管造成刺激，轻者发生局部红肿、刺痛，重者可能发生不可逆性的损伤，不仅增加患者的经济负担，也增加工作人员的工作量。为减少临床静脉输注甘露醇静脉炎的发生，减轻患者痛苦，提高药物治疗的有效率，现作如下综述。

克罗恩病患者的观察护理

脑卒中患者生活质量相关性因素研究进展

随着医学模式的改变，疾病后的生活质量成为一种新的健康评价标准。脑卒中作为高发疾病，不仅给患者及家属带来沉重的经济负担，也给患者心理及社会功能带来一定影响。近年来，国内外对脑卒中患者生活质量相关性因素的研究也越来越多，现就该方面的相关研究作一综述。

Application effect of individualized dietary care based on multidisciplinary collaboration model in stroke patients with abnormal blood glucose levels

Objective To investigate the application effect of ndividualized dietary care based on a multidisciplinary collaboration model on glycemic control, neurological recovery, dietary self-management, and satisfaction in stroke patients with abnormal blood glucose. Methods Patients with stroke and abnormal blood glucose admitted to the Department of Neurology, Shangjin Hospital, West China Hospital, Sichuan University between March and October 2024 were enrolled. Using SPSS 26.0 software, a random allocation sequence was generated to divide participants into an observation group and a control group. The control group received comprehensive nursing interventions, while the observation group received additional multidisciplinary collaboration model based individualized dietary care. Both groups were intervened until discharge. Glycemic indicators [glycated albumin (GA), fasting blood glucose (FBG), 2-hour postprandial blood glucose (2hPG)], neurological recovery, dietary adherence, and patient satisfaction were compared pre-intervention and post-intervention (at discharge). Results A total of 112 patients were included, with 56 patients in each group. At the post-intervention stage, GA, FBG and 2hPG in the observation group were lower than those in the control group (P<0.05), and the scores of the Dietary Compliance Scale for Type 2 Diabetes were higher than those in the control group (P<0.05). Except for admission (3.27±0.86 vs. 3.25±0.90, P＞0.05), the modified Rankin Scale scores of the observation group were lower than those of the control group at discharge (3.14±0.86 vs. 3.17±0.86), 30-days follow-up (2.93±0.76 vs. 3.02±0.84), and 90-days follow-up (1.05±0.80 vs.1.43±1.01) (P<0.05). The comparison results within the group showed that, there were significant differences in GA, FBG, 2hPG, modified Rankin Scale scores and Dietary Compliance Scale for Type 2 Diabetes between admission and discharge (P<0.05). The satisfaction rate of the observation group was higher than that of the control group (97.78% vs. 86.76%; χ2=3.877, P=0.049). Conclusion Multidisciplinary collaboration model based individualized dietary care improves short-term glycemic control, promotes long-term neurological recovery, enhances dietary adherence, and increases patient satisfaction in stroke patients with abnormal blood glucose, demonstrating clinical value for widespread application.