刘苣莲

DOI：10.16658/j.cnki.1672-4062.2019.22.189

[摘要] 目的 探讨围手术期护理在糖尿病患者腹部外科手术中的应用效果。方法 行外科手术治疗的74例糖尿病患者，均于2018年4月—2019年4月接收。通过电脑随机法，将之分组探讨，包括常规组37例和研究组37例。结果 研究组术中以及术后血糖水平低于常规组，且伤口恢复时间、住院时间短于常规组（P<0.05）;研究组并发症总发生率低于常规组（P<0.05）。结论 加强围手术期护理，能够有效控制患者术中以及术后血糖变化，与此同时还可以加快患者康复进程，促使其早日康复出院，改善其预后。值得在临床中大力借鉴、普及。

[关键词] 围手术期护理;糖尿病;外科手术;应用效果

[中图分类号] R715          [文献标识码] A          [文章编号] 1672-4062（2019）11（b）-0189-02

Application of Perioperative Nursing in Abdominal Surgery for Diabetic Patients

LIU Ju-lian

Department of General Surgery， Second Hospital of Sanming City， Sanming， Fujian Province， 366000 China

[Abstract] Objective To investigate the effect of perioperative nursing in abdominal surgery for diabetic patients. Methods Seventy-four patients with diabetes who underwent surgical treatment were received from April 2018 to April 2019. They were grouped and discussed by computer randomization， including 37 cases in the conventional group and 37 cases in the study group. Results The blood glucose level of the study group was lower than that of the conventional group， and the recovery time and hospitalization time were shorter than the conventional group （P<0.05）. The total incidence of complications in the study group was lower than that in the conventional group （P<0.05）. Conclusion Strengthening perioperative nursing can effectively control the changes of blood glucose during and after operation， and at the same time accelerate the recovery process of patients， prompting their early recovery and improving their prognosis. It is worthy of reference and popularization in the clinical.

[Key words] Perioperative nursing; Diabetes; Surgery; Application effect

近些年来，我国糖尿病患者越来越多，而并发糖尿病的患者进行腹部手术时，容易诱发诸多并发症以及严重的感染，对患者预后十分不利，比如腹腔镜阑尾切除术、胆囊切除术、腹腔镜腹股溝疝无张力修补术以及脾切除术等[1]。基于此，为积极防治并发症，促使患者尽快恢复，该文2018年4月—2019年4月特此针对腹部外科手术治疗的37例糖尿病患者加强了围手术期护理，以供临床有效参考，报道如下。

1  资料与方法

1.1  一般资料

研究组37例患者中包括19例男性和18例女性，年龄38～72岁，平均（56.8±4.9）岁;12例腹腔镜阑尾切除术、10例胆囊切除术、6例腹腔镜腹股沟疝无张力修补术、9例脾切除术。常规组37例患者中包括22例男性与15例女性，年龄39～77岁，平均（56.9±5.1）岁;14例腹腔镜阑尾切除术、9例胆囊切除术、6例腹腔镜腹股疝无张力修补术、8例脾切除术。并通过点随机法施行分组探讨。各组临床资料差异无统计学意义（P>0.05），均衡一致，可分组探讨。

1.2  方法

常规组行常规护理，而研究组则在常规护理基础上加强围手术期护理，即：①术前。监测患者……