糖尿病患者腹部外科手術的圍術期護理干預研究

李秀艷

[摘要] 目的 探究糖尿病患者腹部外殼手術的圍術期護理干預效果。方法 將2016年6月—2017年6月進入該院外科腹部手術治療實行常規護理的60例糖尿病患者劃分為對照組，將2017年7月—2018年7月進入該院外科腹部手術治療實行圍術期護理干預的60例糖尿病患者劃分為觀察組，對比兩組患者的臨床指標及并發癥發生率。結果 ①在空腹血糖、餐后2 h血糖水平方面，兩組護理前后比較均差異無統計學意義（P>0.05）;護理后，觀察組均顯著低于對照組，兩組數據差異有統計學意義（P<0.05）;說明觀察組護理后血糖控制效果明顯優于對照組。②對比統計結果發現，對照組與觀察組住院時間、切口愈合時間、術中血糖及術后血糖水平均差異有統計學意義（P<0.05）。③觀察組并發癥發生率為3.33%，顯著比對照組的13.33%更低（P<0.05）。結論 糖尿病腹部外科手術實行圍術期護理干預的效果良好，能明顯控制血糖指標縮短住院時間及切口愈合時間，大大降低術后并發癥發生率，有利于機體康復。

[關鍵詞] 糖尿病;腹部外科手術;圍術期護理干預

[中圖分類號] R47 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1672-4062（2019）09（a）-0003-02

[Abstract] Objective To investigate the effect of perioperative nursing intervention on abdominal shell surgery in diabetic patients. Methods From June 2016 to June 2017， 60 patients with diabetes who underwent routine abdominal surgery in our hospital were divided into control group. From July 2017 to July 2018， 60 patients with diabetes mellitus with the surgical operation of our hospital for abdominal surgery who underwent surgical intervention were divided into the observation group， and the clinical indicators and complication rates of the two groups were compared. Results 1.There were no significant differences in fasting blood glucose and postprandial 2 h blood glucose levels between the two groups（P>0.05）. After the nursing， the observation group was significantly lower than the control group. The difference between the two groups was statistically significant（P<0.05）; indicating that the blood glucose control effect of the observation group was significantly better than that of the control group. 2.Comparative statistical results showed that there was a significant difference in hospital stay， incision healing time， intraoperative blood glucose and postoperative blood glucose levels between the control group and the observation group（P<0.05）. 3.The incidence of complications in the observation group was 3.33%， which was significantly lower than that in the control group（13.33%） （P<0.05）. Conclusion Perioperative nursing intervention in diabetic abdominal surgery is effective. It can significantly control the blood glucose index， shorten the hospitalization time and incision healing time， greatly reduce the incidence of postoperative complications， and is conducive to the recovery of the body.

[Key words] Diabetes; Abdominal surgery; Perioperative nursing intervention