曾静

[摘要] 目的 探讨分析大肠癌合并糖尿病患者的围手术期护理效果。方法 纳入2017年1月—2019年4月期间该院收治的48例大肠癌合并糖尿病患者作为研究主体，依托随机数字法将入选患者分成对照组（n=24，常规化围手术期护理）及干预组（n=24，快速康复围手术期护理），对比观察干预效果。结果 干预组术后血糖水平显著低于对照组（9.4±1.6）mmol/L vs （13.8±3.5）mmol/L，数据对比差异有统计学意义（P<0.05）;干预组术后并发症发生率（4.1%）明显较低于对照组（29.1%），数据对比差异有统计学意义（P<0.05）;干预组患者住院时间、排便时间及首次排气时间均明显短于对照组，同时住院费用也明显少于对照组，数据间对比差异有统计学意义（P<0.05）。结论 快速康复护理应用在大肠合并糖尿病患者具有极高的临床价值，可大大缩短患者的康复时间，同时有效控制患者的血糖水平，应用效果确切且安全性高。

[关键词] 大肠癌;糖尿病;围手术期护理;快速康复;效果

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）06（a）-0120-03

[Abstract] Objective To explore and analyze the perioperative nursing effect of patients with colorectal cancer complicated with diabetes. Methods 48 patients with colorectal cancer complicated with diabetes admitted in the hospital from January 2017 to April 2019 were selected as the main body of the study， and the selected patients were divided into control group based on random number method （n=24， routine perioperative nursing） and the intervention group （n=24， perioperative nursing of rapid rehabilitation）， compare and observe the effect of intervention. Results The postoperative blood glucose level of the intervention group was significantly lower than that of the control group （9.4±1.6）mmol/L vs （13.8±3.5）mmol/L， the data comparison was significantly different（P<0.05）; the incidence of postoperative complications （4.1%） in the intervention group was significant compared with the control group （29.1%）， the data comparison was significantly different（P<0.05）; the hospitalization time， defecation time， and first exhaust time of the intervention group were significantly shorter than the control group， and the hospitalization cost was also significantly less than the control group， the comparison between the data is now significantly different （P<0.05）. Conclusion The application of rapid rehabilitation nursing has a very high clinical value in patients with diabetes and large intestine， which can greatly shorten the recovery time of patients and effectively control the blood glucose levels of patients. The application effect is accurate and safe， and it is worthy of further promotion and use.

[Key words] Colorectal cancer; Diabetes; Perioperative care; Rapid recovery; Effect

我國老龄化社会的发展过程中，糖尿病及大肠癌均为多发性的老年病症，对老年人的晚年生活甚至生命质量水平造成直接影响。糖尿病属于大肠癌并发症中的一种，其与大肠癌相互形成牵制，导致患者的身体机能降低，使患者对手术耐受性下降，可直接影响大肠癌患者的整体治疗效果及预后[1]。手术治疗期间的有效护理是确保患者整体治疗效果的关键，同时也是促进患者康复的关键。快速康复外科（FTS）是临床护理的新理念，其在全面了解围手术期生理学的基础上，已循证医学为指导思想，整合术前、术中及术后有效的护理干预措施，以最大限度降低患者的手术应激反应，使患者得到快速康复[2]。该研究2017年1月—2019年4月将该院收治的48例大肠癌合并糖尿病患者作为研究主体，对比观察不同护理措施的效果，现报道如下。

1  资料与方法

1.1  一般资料

纳入该院收治的48例大肠癌合并糖尿病患者作为研究主体，依托随机数字法将入选患者分成对照组（n=24，常规化围手术期护理）及干预组（n=24，快速康复围手术期护理）。……