范忠琴

[摘要] 目的 对膝关节骨性关节炎合并糖尿病患者的围手术期护理措施进行探析。方法 抽选该院骨科自2017年6月—2018年5月所收治的90例膝关节骨性关节炎合并糖尿病患者作为研究的对象，按入院前后顺序分成甲、乙组，并分别予以不同的护理干预措施，甲组予以常规护理，乙组予以围手术期护理干预;观察两组患者的护理效果及血糖变化。结果 乙組总有效率（93.3%）显著高于甲组（77.8%），差异有统计学意义（χ2=3.644，P<0.05）;乙组患者干预后的空腹血糖、餐后2 h血糖均优于甲组患者，差异有统计学意义（P<0.05）。结论 对膝关节骨性关节炎合并糖尿病患者予以围手术期护理干预措施，能控制患者的血糖，改善其临床症状，值得推广。

[关键词] 膝关节骨性关节炎;糖尿病;护理

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2019）03（a）-0019-03

[Abstract] Objective To analyze the perioperative nursing measures for patients with knee osteoarthritis and diabetes. Methods A total of 90 patients with knee osteoarthritis and diabetes who were admitted to our department from August 2017 to May 2018 were enrolled in the study. They were divided into group A and B according to the order before and after admission. The different nursing intervention measures were applied in each group， group A received routine nursing， group B received perioperative nursing intervention; observed the nursing effect and blood glucose changes of the two groups of patients. Results The total effective rate of group B（93.3%） was significantly higher than that of group A （77.8%）， the difference was significant（χ2=3.644，P<0.05）. The fasting blood glucose and the 2 h postprandial blood glucose of group B patients were better than those of group A. There were statistically significant differences between the two groups（P<0.05）. Conclusion Perioperative nursing intervention for patients with knee osteoarthritis and diabetes can control the blood glucose of patients and improve their clinical symptoms. It is worth promoting.

[Key words] Knee osteoarthritis; Diabetes; Nursing

膝关节骨性关节炎是临床上一种发病率比较高的骨科疾病，其主要发病机制表现为关节软骨退变，临床症状一般为关节疼痛、僵硬、活动受限，因而，严重影响患者的正常生活[1]。由于此病的主要发病群体为老年人，因而大多数患者往往合并慢性疾病，如糖尿病，这在一定程度上加大了治疗的难度，同时也不利于疾病的康复。对此，为进一步提升疾病治疗的效果，对其予以切实可行的护理干预措施，是非常有必要的。该案选取从2017年6月—2018年5月于该院骨科收治的90例膝关节骨性关节炎合并糖尿病患者分别采取两种不同的护理措施，观察其护理效果，现将具体情况报道如下。

1  资料与方法

1.1  一般资料

抽选该院骨科所收治的90例膝关节骨性关节炎合并糖尿病患者作为研究的对象，研究对象皆满足美国风湿病学会膝关节骨性关节炎疾病的临床诊断标准，同时符合世界卫生组织所制定的关于糖尿病的诊断。……