老年糖尿病患者髖關節置換圍手術期應用快速康復外科護理的臨床效果研究

范勇

[摘要] 目的 探討老年糖尿病患者髖關節置換圍術期應用快速康復外科護理的臨床效果。方法 選擇于2018年10月—2019年10月期間在該院接受髖關節置換術的老年糖尿病患者86例為研究對象，對照組患者圍術期行常規護理方案，觀察組患者圍術期以對照組為基礎，另行快速康復外科護理，對比兩組患者的臨床治療效果、血糖以及并發癥發生率。結果 觀察組患者的治療有效率為95.35%，高于對照組患者的76.74%，數據組間差異有統計學意義（χ2=6.198，P<0.05）;觀察組血糖水平比較對照組，優勢顯著，差異有統計學意義（P<0.05）;觀察組患者的并發癥發生率為4.65%，低于對照組患者的25.58%，即數據對比，組間差異有統計學意義（χ2=7.340，P<0.05）。結論 老年糖尿病患者髖關節置換圍術期行快速康復外科護理，可以提高治療效果，減少并發癥，為患者預后創造較好的條件。

[關鍵詞] 老年;糖尿病;髖關節置換術;快速康復外科護理;并發癥

[中圖分類號] R587.1? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）07（a）-0138-03

A Study on the Clinical Effect of Fast Rehabilitation Surgical Nursing for Elderly Diabetic Patients During Hip Replacement

FAN Yong

Joint Surgery Department， Caoxian County Hospital， Caoxian， Shandong Province， 274400 China

[Abstract] Objective To explore the clinical effect of perioperative application of rapid rehabilitation surgical nursing for elderly diabetic patients with hip replacement. Methods 86 elderly diabetics who underwent hip replacement in the hospital from October 2018 to October 2019 were selected as the research object. The control group underwent routine nursing programs during the perioperative period. On the basis of the control group， another rapid rehabilitation surgical nursing was performed to compare the clinical treatment effect， blood glucose and incidence of complications of the two groups of patients. Results The treatment effective rate of patients in the observation group was 95.35%， which was higher than 76.74% of the patients in the control group. The difference between the data groups was statistically significant（χ2=6.198，P<0.05）; The difference was statistically significant（P<0.05）; the complication rate of the observation group was 4.65%， which was lower than the control groups 25.58%， that is， the data comparison， the difference between the groups was statistically significant（χ2=7.340，P<0.05）. Conclusion Perioperative rapid rehabilitation surgical nursing for hip replacement in elderly diabetic patients can improve the therapeutic effect， reduce complications， and create better conditions for the prognosis of patients.

[Key words] Old age; Diabetes; Hip replacement; Rapid rehabilitation surgical care; Complications

糖尿病屬于慢性終身性疾病，患者往往需要接受長期治療，同時在日常生活中嚴格管控飲食，若控制效果不理想，極易降低患者的治療依從性。全髖關節置換術在骨外科而言，臨床應用頻率較高，目前已經趨于成熟，可以對患者髖關節功能進行重建，并改善疼痛、畸形等情況，不過受限于老年糖尿病患者機能較差，所以術后康復效果往往不理想，因此為了保證老年糖尿病患者髖關節置換術后的康復效果，亟需探討可行性外科護理方案[1-2]。據有關資料指出[3]，快速康復外科理念（ERAS）作為新興臨床手術護理理念，在發達國家已經廣泛應用于各個領域的外科治療中。該次為了驗證其在骨科外科中的應用價值，選擇于2018年10月—2019年10月期間在該院接受髖關節置換術的老年糖尿病患者86例為研究對象，以常規護理為對照，現報道如下。