李虹

[摘要] 目的 探讨腹腔镜下直肠癌合并糖尿病患者术中压疮预防的护理干预效果。方法 回顾性分析2017年1—12月直肠癌合并糖尿病患者80例的临床资料，全部患者均接受腹腔镜手术治疗，其中35例患者接受常规护理干预，将其设定为对照组，45例患者接受常规护理干预联合压疮预防护理（包括完善术前评估、控制机体血糖、术中减轻机体压迫、做好手术体位摆放、保持皮肤干燥，预防术中低温），将其设定为观察组，比较两组压疮发生情况。 结果 观察组的压疮发生率为4.44%，低于对照组的压疮发生率20.00%，差异有统计学意义（P<0.05）。结论 压疮护理干预的实施可有效减少腹腔镜下直肠癌合并糖尿病患者术中压疮的发生，值得进一步推广应用。

[关键词] 腹腔镜；直肠癌；糖尿病；压疮；护理干预

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2018）03（b）-0153-02

Analysis of Nursing Intervention Effect of Intraoperative Pressure Sores Prevention in Patients with Laparoscopic Rectal Cancer Combined with Diabetes

LI Hong

Tongliao Hospital， Tongliao， Inner Mongolia， 028000 China

[Abstract] Objective To study the nursing intervention effect of intraoperative pressure sores prevention in patients with laparoscopic rectal cancer combined with diabetes. Methods 80 cases of patients with laparoscopic rectal cancer combined with diabetes admitted and treated in our hospital from January to December 2017 were selected， and all patients were treated with laparoscopic surgery， and the patients were divided into two groups， the control group with 35 cases received the routine nursing intervention， while the observation group with 45 cases used the routine nursing intervention combined with pressure sore preventive nursing including improving the preoperative evaluation， controlling organ blood glucose， relieving the organ oppression in operation， doing well in the operative display， keeping the skin dry and preventing the introperative low temperature， and the occurrence of pressure sores was compared between the two groups. Results The incidence rate of pressure sores in the observation group was lower than that in the control group （4.44% vs 20.00%）， and the difference was statistically significant（P<0.05）. Conclusion The nursing intervention of pressure sores can effectively reduce the occurrence of pressure sores of patients with laparoscopic rectal cancer combined with diabetes， and it is worth further promotion and application.

[Key words] Laparoscopic； Rectal cancer； Diabetes； Pressure sore； Nursing intervention

压疮在临床上具有较高的发病率，尤其是糖尿病患者，由于自身的糖代谢出现紊乱，神经组织能量供给不足，因此很容易出现感觉减退甚至消失，由此使患者的皮肤更容易发生破溃以及感染，且愈合难度更高。因此采取有效措施对压疮的发生进行有效预防显得极为重要[1]。采取有效措施预防压疮的发生，可使患者的痛苦得以有效减少，同时可使患者的疾病转归以及成本控制均具有重要作用。该次研究选取2017年1—12月就回顾性分析直肠癌合并糖尿病患者80例的临床资料，探讨腹腔镜下直肠癌合并糖尿病患者術中压疮预防的护理干预效果，现报道如下。

1 资料与方法

1.1 一般资料

回顾性分析该院收治的直肠癌合并糖尿病患者80例的临床资料，全部患者均接受腹腔镜手术治疗，其中35例患者接受常规护理干预，将其设定为对照组，45例患者接受常规护理干预联合压疮预防护理，将其设定为观察组。……