普外科疾病合并糖尿病患者围手术期采用综合护理干预的效果观察  

Observation on the Effect of Comprehensive Nursing Intervention in Patients with General Surgery Disease and Diabetes During Perioperative Period

作　　者：于丽丽 石海霞 YU Li-li;SHI Hai-xia(The Affiliated Weihai Second Municipal Hospital of Qingdao University,Weihai,Shandong,264200 China)

机构地区：[1]青岛大学附属威海市立第二医院,山东威海264200

出　　处：《糖尿病新世界》2020年第8期96-98,共3页Diabetes New World Magazine

摘　　要：目的探讨综合护理对围手术期普外科疾病合并糖尿病患者的临床效果。方法选取该院2017年1月—2019年6月收治90例普外科疾病合并糖尿病患者为该次研究对象,随机分为对照组和观察组,每组45例;对照组采用常规护理,观察组在常规护理基础上给予综合护理干预,对比两组血糖水平、手术相关指标、并发症发生率。结果观察组术中血糖(8.96±1.51)mmol/L、FBG(6.53±1.07)mmol/L、2hPG(7.76±1.21)mmol/L、HbA1c(6.09±1.76)%,均优于对照组对应指标(12.06±2.27)mmol/L、(8.26±1.31)mmol/L、(10.33±1.75)mmol/L、(7.48±1.90)%,组间差异有统计学意义(P<0.05);观察组手术时间(3.93±1.36)h、术中出血量(143.21±13.62)mL、术后肛门排气时间(2.52±1.17)d、进食流食时间(2.19±1.13)d、术后住院时间(11.59±4.39)d,均优于对照组对应指标(4.57±1.65)h、(159.33±16.75)mL、(4.69±1.42)d、(4.03±1.38)d、(14.76±4.70)d,组间差异有统计学意义(P<0.05);观察组并发症发生率5例(11.11%)低于对照组并发症发生率14例(31.11%),组间差异有统计学意义(P<0.05)。结论综合护理干预应用于围手术期普外科疾病合并糖尿病患者能够有效控制血糖水平,改善手术相关指标,降低并发症发生率,具有临床推广意义。Objective To investigate the clinical effect of comprehensive nursing on perioperative general surgery patients with diabetes.Methods Ninety patients with general surgical disease and diabetes who were treated in this hospital from January 2017 to June 2019 were selected as the research object,and they were randomly divided into control group and observation group,each group was 45 cases;the observation group was given comprehensive nursing intervention on the basis of conventional nursing,and the blood glucose level,surgical related indicators,and complication rate were compared between the two groups.Results In the observation group,the intraoperative blood glucose(8.96±1.51)mmol/L,FBG(6.53±1.07)mmol/L,2 hPG(7.76±1.21)mmol/L,and HbA1c(6.09±1.76)%were all better than the corresponding indicators in the control group.(12.06±2.27)mmol/L,(8.26±1.31)mmol/L,(10.33±1.75)mmol/L,(7.48±1.90)%,the difference between the groups was significant(P<0.05);the operation time in the observation group(3.93±1.36)h,intraoperative blood loss(143.21±13.62)mL,postoperative anal exhaust time(2.52±1.17)d,liquid feeding time(2.19±1.13)d,postoperative hospital stay(11.59±4.39)d,better than the corresponding indicators in the control group(4.57±1.65)h,(159.33±16.75)mL,(4.69±1.42)d,(4.03±1.38)d,(14.76±4.70)d,and the differences between the groups were significantly P(P<0.05);the incidence of complications in the observation group was 5(11.11%)lower than that in the control group 14 cases(31.11%),and the difference between the groups was significant(P<0.05).Conclusion The comprehensive nursing intervention applied to perioperative general surgery patients with diabetes can effectively control blood glucose levels,improve surgery-related indicators,reduce the incidence of complications,and have clinical extension significance.

关 键 词：普外科疾病 糖尿病 综合护理 

分 类 号：R47[医药卫生—护理学]