加速康复外科在糖尿病合并直肠癌围术期护理中的效果  

Effect of Accelerated Rehabilitation Surgery on Perioperative Nursing of Diabetes Complicated with Rectal Cancer

作　　者：李雷雪[1] 吴荔[1] 关枫[1] 郑熙[1] 梁德尾[1] LI Lei-xue;WU Li;GUAN Feng;ZHENG Xi;LIANG De-wei(Department of Gastrointestinal Surgery,District 26,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院26区胃肠外科,福建福州350001

出　　处：《糖尿病新世界》2020年第9期125-127,共3页Diabetes New World Magazine

摘　　要：目的探究加速康复外科在糖尿病合并直肠癌患者围术期护理中的效果。方法选取该院收治的100例糖尿病合并直肠癌患者为研究对象,将其均分为两组,每组50例。实施常规围手术期护理的为参考组;实施加速康复外科护理的为康复组。比较两组血糖变化、首次排气时间、尿管留置时间、首次下床活动时间、住院时间、营养状况以及术后并发症发生率。结果康复组首次排气时间、尿管留置时间、首次下床活动时间、住院时间均短于参考组;护理后,两组血糖均有降低,康复组的FPG、2 hPG低于参考组;康复组的白蛋白、前白蛋白、总蛋白水平高于参考组;康复组术后并发症发生率低于参考组(P<0.05)。结论糖尿病合并直肠癌患者围术期应用加速康复外科护理,能有效改善患者的临床各项指标、血糖水平及营养状况,同时缩短住院时间,降低术后并发症,值得推广。Objective To investigate the effect of accelerated rehabilitation surgery on perioperative nursing of patients with diabetes mellitus and rectal cancer.Methods A total of 100 diabetic patients with rectal cancer treated in the hospital were selected as the research subjects,and they were divided into two groups,50 in each group.Those who performed routine perioperative nursing were the reference group;those who performed accelerated rehabilitation surgical nursing were the rehabilitation group.Changes in blood glucose,time to first exhaust,time to urinary indwelling,time to get out of bed for the first time,length of hospital stay,nutritional status,and incidence of postoperative complications were compared between the two groups.Results The first exhaust time,urinary indwelling time,the first time to get out of bed,and the length of hospital stay in the rehabilitation group were shorter than those in the reference group.After nursing,blood glucose in both groups decreased,and FPG and 2 hPG in the rehabilitation group were lower than those in the reference group.The levels of albumin,prealbumin and total protein were higher in the reference group;the postoperative complication rate in the rehabilitation group was lower than the reference group(P<0.05).Conclusion The perioperative application of accelerated rehabilitation surgical care for patients with diabetes and rectal cancer can effectively improve the clinical indicators,blood glucose levels and nutritional status of patients,meanwhile shorten the length of hospital stay and reduce postoperative complications,which is worth promoting.

关 键 词：加速康复外科 糖尿病 直肠癌 围术期护理 

分 类 号：R47[医药卫生—护理学]