陈秀伟

[摘要] 目的 探明综合护理干预对腰椎间盘突出症合并糖尿病患者在围手术期的价值。方法 选2016年1月—2017年12月该院收治的60例腰椎间盘突出症合并糖尿病患者，随机分为常规组和综合组各30例。常规组常规护理，综合组综合护理。观察护理效果。结果 综合组手术前后血糖的变化、感染发生率、患者及家属满意度均优于常规组（P<0.05）。结论 对于腰椎间盘突出症合并糖尿病患者进行综合护理能防止感染发生，提高患者及家属满意度。

[关键词] 腰椎间盘突出症；糖尿病；围手术期；护理

[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2018）02（b）-0149-02

Perioperative Nursing Measures and Evaluation of Efficacy in Patients with Lumbar Disc Herniation Complicated with Diabetes

CHEN Xiu-wei

Operating Room， Linyi Mental Health Center， Linyi， Shandong Province， 276005 China

[Abstract] Objective This paper tries to investigate the value of comprehensive nursing intervention in the perioperative period of lumbar disc herniation with diabetes mellitus. Methods 60 patients from January 2016 to December 2017 with lumbar disc herniation complicated with diabetes mellitus were selected. The patients were randomly divided into routine nursing group （n=30） and comprehensive nursing group （n=30）. Routine nursing and comprehensive nursing were used to observe the nursing effect. Results The change of blood glucose， incidence of infection， and satisfaction of patients and relatives before and after surgery in the comprehensive group were better than those in the conventional group（P<0.05）. Conclusion Comprehensive care for patients with lumbar disc herniation combined with diabetes can prevent infection and increase patient and family satisfaction.

[Key words] Lumbar disc herniation； Diabetes； Perioperative period； Nursing

糖尿病是指患者的空腹血糖≥11.1 mmol/L，腰椎間盘突出症是指由于椎间盘变性、纤维环破裂、髓核组织突出或压迫神经或神经根所引起的综合征[1-2]。对于糖尿病，一般采取长期服用药物维持血糖水平；对于症状较轻的腰椎间盘突出症患者，一般以休养和针灸、推拿、药物治疗为主；而症状较重的患者则采取手术治疗。但在手术过程中，高血糖是手术危险因素之一，且会增加患者术中及术后的并发症。因此对腰椎间盘突出症合并糖尿病的患者做好围手术期的护理，对于保证手术的成功、手术疗效、减少并发出症具有重要意义[3-4]。该次试验选取2016年1月—2017年12月该院收治的60例患者为研究对象，主要研究对腰椎间盘突出症合并糖尿病患者在围手术期实施综合护理的价值，现报道如下。

1 资料与方法

1.1 一般资料

将入住该院的经患者同意的符合纳入标准的腰椎间盘突出症及糖尿病的60例患者随机分为研究组、对照组两组。纳入标准：签署知情同意书的符合临床诊断标准的即将做手术的腰椎间盘突出症合并糖尿病的患者。……