Abstract: Objective To investigate the effect of refined specialist nursing on inflammatory factors in the elderly patients with diabetes complicated with pulmonary infection. Methods A total of 35 elderly patients with diabetes complicated with pulmonary infection were retrospectively analyzed. They were divided into refined specialist nursing group and routine nursing group by admission order. The clinical data including blood examination, inflammation factors and hospital stay were recorded and compared between the two groups. Results There were no significant differences in sex, age, glycosylated hemoglobin, hypertension, smoking, drinking, the levels of C-reactive protein(CRP), heparin binding protein(HBP), procalcitonin(PCT) between the two groups. Compared with admission, there were no significant differences in the levels of white blood cell, neutrophil, lymph cell, mononuclear cell one week later in the two groups. After intervention, the levels of CRP, HBP of the two groups were significant decreased than those at admission, especially in refined specialist nursing group. The hospital stay of refined specialist nursing group was shorter than that of routine nursing group (P<0.05). Conclusions Refined specialist nursing can reduce the level of inflammation stress of elderly patients with diabetes complicated with pulmonary infection, shorten hospital stay, which is worthy of application.

Key words: pulmonary infection, diabetes, aged, refined specialist nursing