针对性护理对肛周脓肿合并糖尿病患者的影响分析  

Analysis of the Effect of Targeted Nursing on Patients with Perianal Abscess and Diabetes

作　　者：温秀华 WEN Xiuhua(The First Department of Anorectal,Xiamen Hospital of Traditional Chinese Medicine,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门市中医院肛肠一科,福建厦门361000

出　　处：《糖尿病新世界》2021年第6期136-139,共4页Diabetes New World Magazine

摘　　要：目的分析对肛周脓肿合并糖尿病患者应用针对性护理的临床效果及影响。方法选取该院2016年4月—2019年5月收治的肛周脓肿合并糖尿病患者180例,随机分为观察组(n=90)与对照组(n=90)。对照组患者采用常规护理,观察组患者采用针对性护理,对比两组患者的血糖水平、肛门疼痛评分、创面愈合时间、术后7 d创面渗液评分、肛门疼痛程度、肠道功能恢复时间以及患者术后的并发症发生率。结果观察组与对照组患者术前、术后14 d晨起血糖及餐后血糖对比,差异无统计学意义(P>0.05);术后3、7 d观察组患者晨起血糖及餐后2 h血糖都显著低于对照组患者,差异有统计学意义(P<0.05);术后3、7、14 d患者血糖水平逐渐趋向平稳。观察组患者创面愈合时间、术后7 d创面渗液评分、肠道功能恢复时间以及患者并发症发生率都显著低于对照组患者,差异有统计学意义(P<0.05)。术后3、7、14 d观察组与对照组患者肛门疼痛评分均显著下降;且观察组患者3、7、14 d疼痛评分显著低于对照组患者,差异有统计学意义(P<0.05)。结论在肛周脓肿合并糖尿病患者中,使用针对性护理效果较佳,有效促进患者创面的愈合以及肠道的恢复,降低术后并发症发生率。Objective To analyze the clinical effect and influence of targeted nursing on patients with perianal abscess and diabetes.Methods A total of 180 patients with perianal abscess and diabetes mellitus treated in the hospital from April 2016 to May 2019 were randomly divided into observation group(n=90)and control group(n=90).Patients in the control group received conventional nursing care,and patients in the observation group received targeted nursing care.The blood glucose,anal pain score,wound healing time,wound exudation score of 7 d postoperatively,the degree of anal pain,the recovery time of intestinal function and the incidence of postoperative complications were compared between the two groups.Results The observation group had no statistically significant difference in the morning blood glucose and postprandial blood glucose before and 14 d after the operation compared with the control group(P>0.05);the observation group 3 d and 7 d after the operation,the morning blood glucose and 2 h after the meal blood glucose levels were significantly lower than those in the control group,and the difference was statistically significant(P<0.05);the blood glucose levels of patients 3 d,7 d,and 14 d after the operation gradually became stable.The wound healing time,wound exudation score at 7 d after operation,the recovery time of intestinal function,and the incidence of complications in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).The anal pain scores of the control group and the observation group decreased significantly after 3 d,7 d,and 14 d after operation;and the pain scores of the observation group were significantly lower than those of the control group on the 3 d,7 d,and 14 d,and the difference was statistically significant(P<0.05).Conclusion In patients with perianal abscess and diabetes,targeted nursing is more effective,effectively promoting wound healing and intestinal recovery,and reducing the incidence of postoperative c

关 键 词：肛周脓肿 创面愈合 针对性护理 围术期 效果 

分 类 号：R47[医药卫生—护理学]