糖尿病患者围手术期血糖管理路径及措施  被引量:6

Blood glucose management in diabetic patients during perioperative period

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作  者:向桂珍[1] 冯长菊 林岘玉 赵永红[1] 胡斌[2] 江玉蓉[1] 

机构地区:[1]重庆三峡中心医院内分泌科,重庆404000 [2]重庆三峡中心医院老年科,重庆404000

出  处:《中西医结合护理(中英文)》2017年第7期145-147,共3页Journal of Clinical Nursing in Practice

摘  要:目的总结糖尿病患者围手术期血糖管理路径及措施。方法从术前、术中、术后、治疗方案和患者进食方式方面,评估分析76例围手术期患者血糖监测管理效果。结果术前22例(29.0%)患者有血糖监测医嘱,术后有完整血糖值记录患者仅为6例(7.9%),提示围手术期糖尿病患者管理相对缺乏。结论需持续改进围手术期糖尿病患者管理,在选择合适的降糖治疗方案的同时应完善术前评估、充足的营养支持以及严密的术中、术后监测。Objective To summarize the way of blood glucose management in diabetic patients during perioperative period. Methods To assess the management situation of blood glucose control in n diabetic patients based on therapeutic schedule and dietary plan during perioperative period. Results Of 76 patients observed,22 cases with medical order of blood sugar monitoring before operation,6 cases with entire record on blood glucose change during perioperative period. Conclusion It is required to carry out the continuous improvement measures in blood glucose management of diabetic patients during perioperative period. The preoperative assessment,nutrition support and monitoring during perioperative period should be enhanced in addition to proper hypoglycemic therapy.

关 键 词:围手术期 血糖监测 血糖管理 营养支持 

分 类 号:R587.1[医药卫生—内分泌]

 

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