2型糖尿病患者胆道术围术期护理分析  

Analysis of nursing care of peroperative period for diabetes Ⅱ with cholangiolithiasis needing operation

作　　者：吴琦[1] 范萍[1] 陶慧[1] 

机构地区：[1]昆明医学院第一附属医院肝胆外科,云南昆明650032

出　　处：《中国当代医药》2009年第19期78-79,共2页China Modern Medicine

摘　　要：目的:总结63例胆道结石合并糖尿病患者围术期的护理经验。方法:针对其易发生感染性并发症的特点,术前进行卫生宣教、心理护理、血糖控制,术后严格控制血糖,加强引流管护理、呼吸道护理、切口护理、压疮预防护理及营养支持等措施。结果:一期切开愈合率为95.2%,切开感染率为4.8%,尿路感染率为1.6%;无肺部感染及压疮等并发症发生。结论:术前增加患者健康知识和术后全面细心的护理是患者顺利康复的重要因素。Objective ：The paper was to summarize the experiences and interventions of perioperative nursing for 63 cases biliary calculi with diabetes 11 .Methods：63 patients were given some interventions＇ preoperative nursing： health education, psychological nursing, blood sugar control;postoperative nursing： strict control of blood sugar, drainage tube nursing, respiratory tract nursing, cut nursing, preventive nursing of bedsore and nutrition support etc. Results：95.2% of patients were recovered with primary healing of operative cut, 4.8% of patients with cut infection and 1.6% patient with urethral infection, and there was no pulmonary infection. Concluslon：Let patients to learn more about biliary calculi and diabetes preoperative are the key points to patients＇smooth rehabilitation.

关 键 词：胆道结石 糖尿病 围术期 护理 

分 类 号：R473.6[医药卫生—护理学]