糖尿病患者腹部外科手术的围术期护理干预研究

李秀艳

[摘要] 目的 探究糖尿病患者腹部外壳手术的围术期护理干预效果。方法 將2016年6月—2017年6月进入该院外科腹部手术治疗实行常规护理的60例糖尿病患者划分为对照组，将2017年7月—2018年7月进入该院外科腹部手术治疗实行围术期护理干预的60例糖尿病患者划分为观察组，对比两组患者的临床指标及并发症发生率。结果 ①在空腹血糖、餐后2 h血糖水平方面，两组护理前后比较均差异无统计学意义（P>0.05）;护理后，观察组均显著低于对照组，两组数据差异有统计学意义（P<0.05）;说明观察组护理后血糖控制效果明显优于对照组。②对比统计结果发现，对照组与观察组住院时间、切口愈合时间、术中血糖及术后血糖水平均差异有统计学意义（P<0.05）。③观察组并发症发生率为3.33%，显著比对照组的13.33%更低（P<0.05）。结论 糖尿病腹部外科手术实行围术期护理干预的效果良好，能明显控制血糖指标缩短住院时间及切口愈合时间，大大降低术后并发症发生率，有利于机体康复。

[关键词] 糖尿病;腹部外科手术;围术期护理干预

[中图分类号] R47          [文献标识码] A          [文章编号] 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