持续质量改进在骨折合并糖尿病老年手术患者血糖控制和并发症的临床效果分析  

Analysis of Clinical Effect of Continuous Quality Improvement in the Blood Glucose Control and Complications of Senile Operative Patients with Fractures and Diabetes

作　　者：许红云 XU Hong-yun(Second Department of Orthopedics,Linyi Central Hospital,Linyi,Shandong Province,276400 Chin)

机构地区：[1]临沂市中心医院骨二科,山东临沂276400

出　　处：《糖尿病新世界》2018年第3期107-109,共3页Diabetes New World Magazine

摘　　要：目的探讨持续质量改进对骨折合并糖尿病老年手术患者血糖水平及并发症的影响。方法选取2016年1月—2017年9月于该院就诊并行手术治疗的骨折合并糖尿病老年患者80例,采用数字随机法,将患者均分为观察组(n=40)与对照组(n=40),对照组采用基础护理管理,观察组采用持续质量改进干预,对比两组患者的干预情况。结果观察组干预后的FPG、2 hPG、HbAlc显著低于对照组(P<0.05);观察组术后24、48、72 hVAS评分显著低于对照组(P<0.05);观察组切口拆线时间、住院时间显著短于对照组(P<0.05);观察组术后并发症发生率显著低于对照组(P<0.05)。结论持续质量改进能够有效控制骨折合并糖尿病老年手术患者的血糖水平,减轻术后疼痛程度,并降低术后并发症发生率,缩短患者的住院时间,促进患者身体康复,可在临床上推广使用。Objective To study the clinical effect of continuous quality improvement in the blood glucose control and complications of senile operative patients with fractures and diabetes. Methods 80 cases of senile patients with fracture and diabetes for surgical treatment in our hospital from January 2016 to September 2017 were selected and randomly divided into two groups with 40 cases in each, the control group used the basic nursing management, while the observation group used the continuous quality intervention, and the intervention condition was compared between the two groups. Results After intervention, the FPG, 2 hPG, HbAlc in the observation group were obviously lower than those in the control group（P〈0.05）,and the 24, 48, 72 hVAS scores in the observation group after surgery were obviously lower than those in the control group（P〈0.05）, and the incision clearing time and length of stay in the observation group were shorter than those in the control group（P〈0.05）, and the incidence rate of complications after surgery in the observation group was obviously lower than that in the control group（P〈0.05）. Conclusion The continuous quality improvement can effectively control the blood glucose level of senile operation patients with fracture and diabetes, relieve the postoperative pains, reduce the incidence rate of complications after surgery, shorten the length of stay and promote the physical recovery, and it is worth clinical promoted and applied.

关 键 词：骨折 糖尿病 血糖 持续质量改进 并发症 

分 类 号：R587.1[医药卫生—内分泌]