苏慧双鸭山市人民医院外科，黑龙江双鸭山　155100

创伤骨折伴糖尿病患者围手术期护理

苏慧
双鸭山市人民医院外科，黑龙江双鸭山155100

目的 对创伤性骨折伴糖尿病患者在围手术期的临床护理效果进行观察分析。方法 选取2013年3月—2016 年3月于该院就诊的30例创伤骨折伴糖尿病患者作为研究对象，从术前、术后进行全面护理干预，术前护理包括心理干预、血糖控制等，术后护理包括饮食护理、并发症预防、骨折局部护理以及康复护理等，观察30例患者术后愈合、感染及并发症发生情况。结果 30例患者血糖控制情况均较好，以正常的血糖水平顺利度过围手术期，未发生伤口化脓性感染及并发症。结论 创伤性骨折伴糖尿病患者围手术期的护理工作应全面化、系统化地展开，根据患者病情变化及时调整护理及治疗措施，进而保障患者的生命安全。

创伤骨折；糖尿病；围手术期；护理观察

DOI：10.16658/j.cnki.1672-4062.2016.10.145

［Abstract］Objective The purpose of traumatic fractures associated with diabetes in clinical nursing effect of perioperative observation analysis.Methods Selection in March 2013 to March 2016 in our hospital patients with diabetes with 30 cases of traumatic fracture as the research object,from the preoperative and postoperative comprehensive nursing intervention, preoperative nursing,including psychological intervention,such as blood sugar control,and postoperative nursing care including diet,complications,prevention,local nursing and rehabilitation nursing,observation of 30 cases of patients with postoperative healing,infection and complications.Results Also better blood sugar control,and 30 patients with normal blood glucose levels through perioperative,pyogenic infection and wound complications occurred.Conclusion Traumatic fracture patients with diabetes with perioperative nursing work should be a comprehensive,systematic,adjust nursing and treatment measures according to patients condition change in time,to ensure life safety of patients.

［Key words］Traumatic fracture；Diabetes；Perioperative；Nursing observation

由于创伤性骨折伴糖尿病患者在采取手术后并发症的发生率较高，不仅严重影响预后质量，更对患者的生命质量造成一定威胁［1］。随着现代创伤骨折护理理念的不断更新发展，要求医护人员在对患者进行护理的过程中转变以往“分割式”的模式，应构建全面化、系统化的护理流程，以术前评估患者全身状况、创伤程度以及创伤口失血量的顺序进行全过程、动态化地护理，及时检测患者生命体征以及病情发展变化情况，从而最大程度降低并发症的发生率［2-3］，现报道如下。……