个体化肠内营养支持联合强化血糖管理在2型糖尿病喉癌术后患者中的应用  

Application of Individualized Enteral Nutrition Support Combined With Intensive Blood Glucose Management in Postoperative Patients With Laryngeal Cancer of Type 2 Diabetes

作　　者：陈素玲 骆献阳[1] 黄晓凤 CHEN Suling;LUO Xianyang;HUANG Xiaofeng(Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361000,China)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,福建厦门361000

出　　处：《中国卫生标准管理》2024年第16期162-165,共4页China Health Standard Management

基　　金：福建省自然科学基金项目(2021J011358)。

摘　　要：目的探讨个体化肠内营养支持干预联合强化血糖管理在2型糖尿病喉癌术后患者中的临床护理效果。方法选取2021年6月—2022年6月在厦门大学附属第一医院行喉癌术治疗的86例2型糖尿病患者作为研究对象。依据干预方案不同将其分为对照组(n=43)与观察组(n=43),对照组予以常规鼻饲喂养联合常规血糖管理,观察组予以个体化肠内营养支持干预联合强化血糖管理。对比2组血糖监测执行率、血糖控制效果、切口感染发生率和护理满意度。结果观察组血糖监测执行率为96.54%,高于对照组的88.53%(P<0.05);观察组空腹血糖达标率和餐后2 h血糖达标率均高于对照组(P<0.05);观察组切口感染发生率低于对照组(P<0.05);观察组护理总满意度高于对照组(P<0.05)。结论个体化肠内营养支持干预联合强化血糖管理在2型糖尿病喉癌术后患者中的护理效果较显著,不仅能提高其血糖监测执行率和血糖控制效果,还能减少切口感染情况的发生,提升其护理满意度。Objective To investigate the clinical nursing effect of individualized enteral nutrition support intervention combined with intensive blood glucose management in patients with type 2 diabetes laryngeal cancer after surgery.Methods A total of 86 patients with type 2 diabetes who underwent laryngeal cancer surgery in the First Affiliated Hospital of Xiamen University from June 2021 to June 2022 were selected as the study object,and were divided into control group(n=43)and observation group(n=43)depending on the intervention program.The control group was given routine nasal feeding combined with routine blood glucose management.The observation group was given individualized enteral nutrition support intervention combined with intensive blood glucose management.The implementation rate of blood glucose monitoring,blood glucose control effect,incidence of incision infection and nursing satisfaction of the two groups were compared.Results The implementation rate of blood glucose monitoring in the observation group was 96.54%,higher than 88.53%in the control group(P<0.05).The fasting blood glucose compliance rate and 2 h postprandial blood glucose compliance rate of observation group were higher than control group(P<0.05).The observation group incidence of incision infection was lower than control group(P<0.05).The total nursing satisfaction of observation group was higher than control group(P<0.05).Conclusion The nursing effect of individualized enteral nutrition support combined with intensive blood glucose management is significant in patients with type 2 diabetes laryngeal cancer after surgery,which can not only improve the implementation rate of blood glucose monitoring and blood glucose control effect,but also reduce the occurrence of incision infection and improve their nursing satisfaction.

关 键 词：2型糖尿病 喉癌 肠内营养支持 血糖管理 血糖监测 切口感染 

分 类 号：R473[医药卫生—护理学]