外傷性跟骨骨折合并糖尿病病人的圍術期護理

牛艷華

[摘要] 目的 探究外傷性跟骨骨折合并糖尿病患者的圍術期護理。 方法 選擇該院接治的外傷性跟骨骨折合并糖尿病患者的一般資料進行分析，抽選出2017年1月—2018年1月間收治的100例患者進行實驗，采用數字隨機法將所有患者均分為兩組，分別為對照組和實驗組，每組中各包含50例患者。對實驗組患者采用針對性護理，對照組患者實施常規護理。術后隨訪1年，根據兩組患者的骨折愈合情況、并發癥發生率以及護理滿意度進行對比，同時采用maryland評分對患者的足部功能進行對比。結果 該次研究成果顯示，實驗組中所有患者均完全愈合，且沒有發生嚴重并發癥，同時maryland評分優良率高于對照組，護理滿意度評分也更優，組間差異有統計學意義（P<0.05）。同時實驗組患者的空腹HbA1c水平較對照組來說更趨于正常，其數值較對照組更低，組間差異有統計學意義（P<0.05）。 結論 將針對性護理應用于外傷性跟骨骨折合并糖尿病患者圍術期的護理中，通過術前準備和術后護理，有助于促進患者盡快的恢復，減少并發癥的發生，改善護患之間的關系，值得深入研究和推廣。

[關鍵詞] 外傷性跟骨骨折;糖尿病;圍術期護理

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2019）08（b）-0008-03

[Abstract] Objective To investigate the perioperative nursing of patients with traumatic calcaneal fracture complicated with diabetes. Methods The general data of patients with traumatic calcaneal fractures and diabetes mellitus admitted to our hospital were analyzed. 100 patients who were admitted between January 2017 and January 2018 were selected for experiment. All patients were randomized by digital randomization. They were divided into two groups， the control group and the experimental group， each containing 50 patients. Targeted care was used for the experimental group and routine care was performed for the control group. The patients were followed up for 1 year. According to the fracture healing， complication rate and nursing satisfaction of the two groups， the maryland score was used to compare the patient's foot function. Results The results of this study showed that all patients in the experimental group were completely healed without serious complications， and the excellent rate of maryland score was higher than that of the control group. The nursing satisfaction score was also better， and the difference between the groups was statistically significant（P<0.05）. At the same time， the fasting HbA1c level of the experimental group was more normal than that of the control group， and the value was lower than that of the control group. The difference between the groups was statistically significant（P<0.05）. Conclusion Targeted nursing is applied to the perioperative nursing of patients with traumatic calcaneal fracture complicated with diabetes. Preoperative preparation and postoperative care can help patients recover as soon as possible， reduce complications and improve the relationship between nurses and patients， which deserves in-depth research and promotion.

[Key words] Traumatic calcaneal fracture; Diabetes; Perioperative nursing