血糖干预在人工股骨头置换手术围手术期中的护理效果  

Nursing Effect of Blood Glucose Intervention in Perioperative Period of Artificial Femoral Head Replacement Surgery

作　　者：朱一玲 龚青[1] 朱晶晶 马龙霞 ZHU Yi-ling;GONG Qing;ZHU Jing-jing;MA Long-xia(Department of Orthopaedics,Rugao Hospital of Traditional Chinese Medicine,Rugao,Jiangsu Province,226500 China)

机构地区：[1]江苏省如皋市中医院骨科

出　　处：《系统医学》2019年第23期180-183,共4页Systems Medicine

摘　　要：目的探究围手术期血糖干预在人工股骨头置换手术围手术期的应用效果,为临床减少围手术期人工股骨头置换手术患者血糖异常提供方法。方法选取2015年5月—2018年10月于该院进行人工股骨头置换手术的患者94例,根据随机数表法分为两组,对照组47例和实验组47例,对照组根据常规检查结果,结合内分泌科会诊结果采取相应的护理措施,实验组由内分泌科、营养科、骨科等科室组成医疗团队,采取精准的血糖干预方法对人工股骨头置换围手术期患者进行系统干预,制定并应用好血糖检测方法和控糖方法。比较两组患者的空腹血糖及餐后2 h血糖水平,并记录患者的平均住院时间、住院满意度评分。结果对照组治疗后空腹血糖﹙8.59±0.41﹚mmol/L,实验组治疗后空腹血糖﹙6.43±0.23﹚mmol/L,差异有统计学意义(t=4.571,P=0.015);对照组组治疗后餐后2 h血糖﹙12.68±0.75﹚mmol/L,实验组治疗后餐后2 h血糖﹙10.54±0.61﹚mmol/L,差异有统计学意义(t=4.278,P=0.023);治疗后对照组患者平均住院时间为(19.94±2.08)d,治疗后实验组患者平均住院时间为(14.58±1.26)d,差异有统计学意义(t=5.013,P=0.012);对照组住院满意度为﹙186.42±14.06﹚分,实验组住院满意度为﹙235.87±15.26﹚分,差异有统计学意义(t=10.564,P<0.001)。结论血糖干预能够减缓患者人工股骨头置换手术后的血糖异常情况,并缩短患者的康复时间,提高患者的满意度。Objective To investigate the effect of perioperative blood glucose intervention in perioperative period of artificial femoral head replacement surgery,and to provide a method for clinically reducing blood glucose abnormality in perioperative artificial femoral head replacement surgery.Methods A total of 94 patients who underwent artificial femoral head replacement surgery in the hospital from May 2015 to October 2018 were enrolled according to the random number table.47 patients in the control group and 47 patients in the experimental group.The control group according to the results of the routine check combined with the endocrine consultation corresponding nursing measures.The experimental group consisted of endocrinology,nutrition,orthopedics and other departments to form a medical team.The precise blood glucose intervention method was used to systematically intervene the perioperative patients with artificial femoral head replacement,applying blood glucose detection methods and glucose control methods.Fasting blood glucose and postprandial 2 h blood glucose levels were compared between the two groups,and the average hospital stay and hospitalization satisfaction scores were recorded.Results The fasting blood glucose of the control group was﹙8.59±0.41﹚mmol/L.The fasting blood glucose of the experimental group was﹙6.43±0.23﹚mmol/L.The difference was statistically significant(t=4.571,P=0.015).The blood glucose of the control group was﹙12.68±0.75﹚mmol/L two hours after the treatment,the blood glucose of the experimental group was﹙10.54±0.61﹚mmol/L two hours after the meal,the difference was statistically significant(t=4.278,P=0.023);the average hospital stay of the control group after treatment was(19.94±2.08)d.After treatment,the average length of hospital stay in the experimental group was(14.58±1.26)d,the difference was statistically significant(t=5.013,P=0.012);the hospitalization satisfaction of the control group was﹙186.42±1.06﹚points,and the hospitalization satisfaction of the exp

关 键 词：人工股骨头置换手术 围手术期 血糖干预 胰岛素 血糖 

分 类 号：R59[医药卫生—内科学]