许银环　林婷　陈春萍　吴碧云

[摘要] 目的 探析鼻竇炎合并糖尿病内镜手术患者术后并发症的护理方法及护理效果。方法 用数字随机表法将2018年1月—2019年7月于该院接受内镜手术的50例鼻窦炎合并糖尿病患者分为两组，对照组（n=25）实施常规护理，观察组（n=25）实施护理干预，对比护理效果。结果 与对照组相比，观察组的术后并发症发生率更低;两组患者护理前的空腹血糖、餐后2 h血糖相比差异无统计学意义（P>0.05），而护理后两组的血糖值较护理前均降低，且观察组的空腹血糖、餐后2 h血糖水平更低，差异有统计学意义（P<0.05）;两组患者的护理后的焦虑、抑郁情绪评分均显著小于护理前，且观察组的负面情绪评分明显小于对照组，差异有统计学意义（P<0.05）。结论 鼻窦炎合并糖尿病内镜手术患者接受护理干预能够降低并发症的发生风险，同时也有利于患者血糖的控制与稳定，有积极意义，值得推广应用。

[关键词] 鼻窦炎;糖尿病;内镜手术;术后并发症;护理效果

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）02（a）-0182-03

Nursing Observation of Postoperative Complications of Patients with Sinusitis Combined with Diabetic Endoscopic Surgery

XU Yin-huan，LIN Ting，CHEN Chun-ping，WU Bi-yun

Department of ENT， Army Hospital of the 73rd Group of the Chinese People's Liberation Army， Xiamen， Fujian Province， 361021 China

[Abstract] Objective To analyze the nursing methods and nursing effects of postoperative complications in patients with sinusitis complicated by diabetic endoscopic surgery. Methods The 50 patients with rhinosinusitis and diabetes who underwent endoscopic surgery in the hospital from January 2018 to July 2019 were divided into two groups by digital random table method， the control group（n=25） implemented nursing intervention; and the observation group（n=25） implemented nursing intervention and compare nursing effects. Results Compared with the control group， the incidence of postoperative complications was lower in the observation group. There was no statistically significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups of patients（P>0.05）. The blood glucose level decreased after nursing， and the fasting blood glucose and 2 h postprandial blood glucose levels in the observation group were lower， and there were statistically significant differences（P<0.05）; the anxiety and depression scores of the two groups of patients after care were significantly smaller than those before the care， and the negative emotion scores of the observation group were significantly smaller than those of the control group. There are statistically significant differences（P<0.05）. Conclusion Nursing intervention for patients with rhinosinusitis and diabetic endoscopic surgery can reduce the risk of complications， and it is also conducive to the control and stability of blood glucose in patients. It has positive significance and is worthy of popularization and application.

[Key words] Sinusitis; Diabetes; Endoscopic surgery; Postoperative complications; Nursing effect

鼻窦炎是临床上的常见疾病，内镜手术是治疗鼻窦炎的有效方法，能够改善通气不畅、疼痛等症状。糖尿病的临床发病率较高，若患者同时患有鼻窦炎和糖尿病，且需要接受内镜手术治疗，则需要引起高度重视，不仅需要控制患者的血糖值，同时还需要积极预防术后并发症的发生[1]。因此，对于行内镜手术的鼻窦炎合并糖尿病患者而言，临床上需要加强对其进行护理干预，通过系统的护理干预最大程度上规避手术风险，避免术后并发症的发生或降低并发症的发生率，同时做到稳定患者的血糖值[2]。护理干预是一种较为全面且综合性的护理模式，是在常规护理基础上的延伸，丰富了以往的护理内容。现选取2018年1月—2019年7月在该院行内镜手术的50例鼻窦炎合并糖尿病患者，进一步研究评价护理干预的临床价值。报道……