目的：探讨糖尿病患者使用碘对比剂后发生对比剂肾病的观察与护理。方法选取2013年6月-2014年6月期间在该院接受冠状动脉造影检查或进行经皮冠状动脉介入治疗的患者80例，根据患者是否合并糖尿病将其分为观察组(合并糖尿病)与对照组。两组患者均行优质护理，分析患者护理前后的血肌酐、尿素氮、血清β2-微球蛋白、尿微量白蛋白等指标变化。同时比较两组患者的住院时间与并发症的发生率。结果接受护理前，两组患者在血肌酐水平上差异有统计学意义，而护理后，两组患者在血肌酐水平上差异无统计学意义。观察组患者的住院时间与并发症发生率与对照组患者差异无统计学意义(P>0.05)。结论给予糖尿病患者优质的临床护理，可降低糖尿病患者对比剂肾病的发病率。%Objective To explore the observation and nursing of contrast induced nephropathy in diabetic patients after us-ing iodinated contrast agent. Methods a total of June 2013 to 2014 during the month of June in our hospital accepted coro-nary angiography or after percutaneous coronary intervention in the treatment of patients with 80 cases, according to whether the patient with diabetes mellitus divided into the control group and the observation group (diabetes). High quality nursing was performed in two groups of patients, the nursing of the patients before and after serum creatinine, urea nitrogen, serum beta-2 microglobulin, urinary microalbumin index change analysis. At the same time, the hospitalization time and the inci-dence of complications were compared between the two groups. Results receive care before, two groups of patients in the serum creatinine level exist significant differences, and nursing, patients in the two groups in serum creatinine levels no sig-nificant difference. The hospitalization time and complications of observation group of patients and the incidence rate of pa-tients in the control group had no significant difference (P> 0.05). Conclusion diabetic patients with clinical nursing quali-ty, can reduce the incidence of diabetic nephropathy patients with contrast agent rate.
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