王春丽 郭丽丹

[摘要] 目的 研究老年胃癌合并糖尿病患者围手术期中使用控制血糖护理产生的临床效果。方法 在该院选取86例老年胃癌合并糖尿病患者，时间选为2016年7月—2018年1月，使用抽签法进行分组，实验组与对照组，各43例。实施常规护理为对照组，实施控制血糖护理为实验组，观察两组产生的临床效果。结果 两组血糖控制情况分析，护理前，两组数据差异无统计学意义（P>0.05），护理后，实验组优于对照组，差异有统计学意义（P<0.05）。结论 实施控制血糖护理对于胃癌合并糖尿病围手术期患者有良好的临床效果，可有控制血糖，值得临床推广与应用。

[关键词] 糖尿病;胃癌;围手术期;控制血糖护理

[中图分类号] R473          [文献标识码] A          [文章编号] 1672-4062（2019）12（a）-0186-02

Clinical Observation of the Use of Controlled Blood Glucose in Perioperative Period in Elderly Patients with Gastric Cancer and Diabetes

WANG Chun-li， GUO Li-dan

Operating Room of the Fifth Hospital of Xiamen City， Xiamen， Fujian Province， 361101 China

[Abstract] Objective To study the clinical effect of using blood glucose control during perioperative period in elderly patients with gastric cancer and diabetes. Methods 86 elderly patients with gastric cancer and diabetes were enrolled in the hospital. The time was selected from July 2016 to January 2018. Grouping was performed by lottery， and the experimental group and the control group were 43 cases each. The routine nursing was carried out as a control group， and the control of blood glucose care was carried out as an experimental group， and the clinical effects produced by the two groups were observed. Results The blood glucose control of the two groups was analyzed. Before the nursing， there was no statistically significant difference between the two groups（P>0.05）. After the nursing， the experimental group was superior to the control group， and the difference was statistically significant（P<0.05）. Conclusion The implementation of blood glucose control has a good clinical effect on perioperative patients with gastric cancer and diabetes. It can control blood glucose and is worthy of clinical promotion and application.

[Key words] Diabetes; Gastric cancer; Perioperative period; Control of blood glucose care

胃癌是臨床上常见的一种恶性肿瘤，病因现在尚不明确，疼痛是该病主要临床症状，如若没有及时进行治疗可能会造成消化系统损伤，而且癌细胞可发生转移，影响肝肾功能[1]。手术室目前临床上治疗胃癌主要方式，这种方式以切除整块病灶在内胃的部分，重建整个消化道。由于老年患者身体免疫系统功能较弱，以致会使手术并发症发生率提升且更为严重，老年人机体耐受性较差，对预后会产生危害。采取有效的护理方式可以控制胃癌合并糖尿病的血糖水平，对于预后有良好效果。因此，该院2016年7月—2018年1月对控制血糖护理应用于43例老年胃癌合并糖尿病围手术期护理中，观察两组血糖控制情况，现报道如下。

1  资料与方法

1.1  一般资料

使用抽签法对该院筛选出86例老年胃癌合并糖尿病患者进行分组，分为实验组与对照组，各43例。其中，实验组男、女各27例、16例;年龄66～87岁，平均年龄（75.62±5.76）岁。对照……