邓玉珊

[摘要] 目的 浅析胰腺癌合并糖尿病患者的围手术护理特点。方法 囊括该院2018年1月—2019年1月收治的68例胰腺癌合并糖尿病患者，依照双盲法将其分为参照组与护理组，各34例，参照组施以常规护理，护理组基于此加以围手术期护理，就患者的护理效果进行组间分析。结果 干预后，护理组患者相较于参照组，空腹血糖、餐后2 h血糖指标更低，血糖达标时间更短，且不良反应发生概率更低，差异有统计学意义（P<0.05）。结论 对胰腺癌合并糖尿病的患者施以针对性围手术期护理干预，有效维持患者的血糖正常水平，降低不良反应的发生，保障患者的生命安全。

[关键词] 胰腺癌;糖尿病;围手术期;护理措施

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2019）12（a）-0182-02

Perioperative Nursing Experience of Patients with Pancreatic Cancer Complicated with Diabetes

DENG Yu-shan

Department of Hepatobiliary Surgery， the First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361003 China

[Abstract] Objective To analyze the characteristics of perioperative nursing care for patients with pancreatic cancer and diabetes. Methods 68 patients with pancreatic cancer and diabetes admitted from January 2018 to January 2019 were enrolled in this study. They were divided into reference group and nursing group according to double-blind method， 34 cases in each group. The reference group was given routine nursing and nursing group， based on this， perioperative care was performed， and inter-group analysis was performed on the patient's care effect. Results Compared with the reference group after intervention， the fasting blood glucose and the 2 h postprandial blood glucose index were lower， the blood glucose compliance time was shorter， and the incidence of adverse reactions was lower， the difference was statistically significant（P<0.05）. Conclusion Targeted perioperative nursing intervention is given to patients with pancreatic cancer and diabetes， which can effectively maintain normal blood glucose levels， reduce the occurrence of adverse reactions， and ensure the safety of patients.

[Key words] Pancreatic cancer; Diabetes; Perioperative period; Nursing measures

胰腺癌属于外科疾病，在治疗过程中主要使用手术治疗的方式，但由于胰腺癌手术治疗方式较为繁杂[1]，要保障患者的生命健康，需优质的围手术期护理，近年来，随着人们生命质量的提高，饮食方式的转变，糖尿病的发病概率呈逐年上涨趋势[2]，同时，糖尿病合并胰腺癌的患者，会增加疾病的复杂性，有临床研究可知[3]，糖尿病患者行外科手术相较于无糖尿病患者，手术风险以及术后发生并发症的几率提升5倍。因此对胰腺癌合并糖尿病的患者，围手术期的护理极其重要。故该文2018年1月—2019年1月对34例胰腺癌合并糖尿病的患者施以针对性的围手术期护理措施，分析其应用效果，报道如下。

1  资料与方法

1.1  一般资料

纳入该院收治的胰腺癌合并糖尿病患者68例，按双盲法分为参照组和护理组，各34例。参照组男20例，女14例;年龄47～72岁，平均年龄（58.27±2.19）岁。护理组男19例，女15例;年龄46～71岁，平均年龄（58.93±2.38）岁。患者各项一般资料组间比对，差异无统计学意义（P>0.05），可进行比较。