胰腺癌術后加強護理監測對患者血糖控制的意義

陳國姣

【摘要】 目的：探討對胰腺癌患者術后實施強化護理及血糖監測的臨床意義。方法：選取2015年6月-2016年6月在本院實施胰腺癌手術治療的患者69例為研究對象，隨機將患者分為研究組（35例）和對照組（34例）。研究組采用強化護理及血糖監測，對照組采用常規護理及血糖監測。比較兩組術后血糖達標時間、胰島素用量、高血糖發生次數等指標。結果：研究組患者禁食期間空腹血糖、進食后晨起空腹血糖、餐后2 h血糖的達標時間均明顯短于對照組，差異均有統計學意義（P<0.05）；研究組患者高血糖發生次數、低血糖發生次數均少于對照組，胰島素用量均明顯低于對照組，差異均有統計學意義（P<0.05）；研究組患者的切口愈合時間、住院時間均明顯短于對照組，切口感染率明顯低于對照組，差異均有統計學意義（P<0.05）。結論：對胰腺癌患者術后實施強化護理及血糖監測有利于患者血糖水平控制在良好的水平，對減少患者術后并發癥具有積極作用。

【關鍵詞】 胰腺癌； 強化； 護理； 血糖監測

The Significance of Postoperative Intensive Care Monitoring in Patients with Pancreatic Cancer/CHEN Guo-jiao.//Medical Innovation of China，2017，14（30）：075-078

【Abstract】 Objective：To investigate the clinical significance of intensive care and blood glucose monitoring in patients with pancreatic cancer after surgical treatment.Method：A total of 69 patients who underwent surgical treatment of pancreatic cancer from June 2015 to June 2016 were selected as research objects，they were divided into study group（35 cases）and control group（34 cases）.The study group using intensive care and blood glucose monitoring，the control group using conventional care and blood glucose monitoring.Comparison of the two groups of postoperative blood glucose compliance time，the amount of insulin，the number of high blood sugar and other indicators.Result：In the study group，fasting blood glucose during fasting，fasting blood glucose in the morning，and 2 h postprandial blood glucose were significantly shorter than those in the control group，the differences were statistically significant（P<0.05）；the incidence of hyperglycemia and the incidence of hypoglycemia were lower in the study group than those in the control group，the insulin dosage of the study group was significantly lower than that of the control group，the differences were statistically significant（P<0.05）；the wound healing time and hospitalization time of the study group were significantly shorter than those of the control group，the incision rate was significantly lower than that of the control group，the differences were statistically significant（P<0.05）.Conclusion：It is beneficial to the patients with pancreatic cancer after intensive nursing and blood glucose monitoring，the blood glucose level of the patients is controlled at a good level，which has a positive effect on reducing the postoperative complications.

【Key words】 Pancreatic cancer； Enhancement； Nursing； Blood glucose monitoring

First-authors address：Wuxue First Peoples Hospital，Wuxue 435400，Chinaendprint

doi：10.3969/j.issn.1674-4985.2017.30.022

胰腺癌是臨床常見的消化系統惡性腫瘤，在確診后一般首選胰十二指腸切除術治療，以達到切除腫瘤、延長患者生存時間的目的。但胰腺切除后胰腺的內分泌功能發生改變，加之圍手術期藥物應用、營養支持、應激反應等諸多因素的影響，導致患者術后血糖水平升高。血糖水平不達標，不僅影響手術治療效果，還可能導致切口感染、泌尿系感染、肺部感染、酮癥酸中毒昏迷等并發癥，影響康復進程[1]，因此在胰腺癌手術后應重視對血糖的控制。護理工作是臨床治療的重要補充，在胰腺癌圍手術期加強護理干預不僅有利于保障手術效果，還有助于及時發現和處理并發癥，確保圍手術期安全[2]。本研究探討了對胰腺癌患者術后實施強化護理及血糖監測的臨床意義，現報道如下。

1 資料與方法

1.1 一般資料 選取2015年6月-2016年6月在本院實施胰腺癌手術治療的患者69例為研究對象，納入標準：（1）經病理學確診為胰腺癌；……