普胸外科老年患者伴糖尿病围手术期护理研究(1)
[摘要] 目的 对普胸外科老年患者伴糖尿病围手术期护理的效果进行分析评价。方法 该次采取随机分组法，将该院收治于2017年2月—2018年2月的80例普胸外科老年伴糖尿病疾病的患者分成兩组;其中，对照组40例采取常规护理方法，观察组采取围手术期护理干预，进一步比较两组护理效果。结果 ①经积极护理后，在空腹血糖及餐后2 h血糖两项血糖指标水平方面，观察组控制效果均明显优于对照组(P<0.05)。②在住院时间方面，观察组明显短于对照组(P<0.05)。③在术后并发症总发生率上，观察组为5.00%，与对照组的25.00%比较明显更低(P<0.05)。结论 针对普胸外科老年伴糖尿病患者，给予围手术期护理干预的效果显著，可达到控制血糖水平，缩短住院时间，降低并发症发生率的作用;因此，值得采纳及应用。
[关键词] 普胸外科老年患者;糖尿病;围手术期护理干预
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)04(a)-0133-02
[Abstract] Objective To evaluate the effect of perioperative nursing care for elderly patients with diabetes mellitus in general thoracic surgery. Methods 80 elderly patients with diabetes mellitus in general thoracic surgery from February 2017 to February 2018 were divided into two groups by random grouping method. 40 patients in the control group were given routine nursing care， while the observation group was given perioperative nursing care， and the nursing effects of the two groups were further compared. Results 1.After active nursing， the control effect of the observation group was significantly better than that of the control group in fasting blood glucose and 2 h postprandial blood glucose (P<0.05). 2.In terms of hospitalization time， the observation group was significantly shorter than the control group (P<0.05). 3.The total incidence of postoperative complications in the observation group was 5.00%， which was significantly lower than that in the control group (25.00%) (P < 0.05). Conclusion For elderly patients with diabetes mellitus in general thoracic surgery， the effect of perioperative nursing intervention is remarkable， which can control blood sugar level， shorten hospitalization time and reduce the incidence of complications. Therefore， it is worth adopting and applying.
[Key words] Elderly patients in general thoracic surgery; Diabetes mellitus; Perioperative nursing intervention
普胸外科手术方式较多，较为常见的包括：食管癌根治术、肺叶切除术、纵膈肿瘤切除术以及左侧全肺切除术等[1-2]。与此同时，临床研究发现，普胸外科老年患者伴糖尿病的发生几率颇高，为了改善该类患者的生活质量，需采取及时有效的护理干预方案。该次采取该院于2017年2月—2018年2月收治的普胸外科伴糖尿病疾病患者作为研究的对象，其目的是分析评价围手术期护理干预在其中的应用效果，具体研究成果如下。
1 资料与方法
1.1 一般资料
该次纳入研究的普胸外科老年伴糖尿病患者80例，均知情签署相关医护同意书，满足各项手术指证条件，且符合世界卫生组织(WHO)制定的相关“糖尿病”诊断标准;此外排除存在手术禁忌证及合并其他严重脏器疾病者。按随机分组法分成，观察组40例中，男性61～78岁，平均为(68.5±1.3)岁;病程为6个月～4年，平均为(2.3±0.2)年。对照组40例中，男性62～79岁，平均为(68.7±1.4)岁;病程为6个月～4年，平均为(2.4±0.3)年。在一般资料方面，两组比较差异无统计学意义(P>0.05)，有可比的意义。
1.2 方法, http://www.100md.com(陈梅英)
[关键词] 普胸外科老年患者;糖尿病;围手术期护理干预
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2019)04(a)-0133-02
[Abstract] Objective To evaluate the effect of perioperative nursing care for elderly patients with diabetes mellitus in general thoracic surgery. Methods 80 elderly patients with diabetes mellitus in general thoracic surgery from February 2017 to February 2018 were divided into two groups by random grouping method. 40 patients in the control group were given routine nursing care， while the observation group was given perioperative nursing care， and the nursing effects of the two groups were further compared. Results 1.After active nursing， the control effect of the observation group was significantly better than that of the control group in fasting blood glucose and 2 h postprandial blood glucose (P<0.05). 2.In terms of hospitalization time， the observation group was significantly shorter than the control group (P<0.05). 3.The total incidence of postoperative complications in the observation group was 5.00%， which was significantly lower than that in the control group (25.00%) (P < 0.05). Conclusion For elderly patients with diabetes mellitus in general thoracic surgery， the effect of perioperative nursing intervention is remarkable， which can control blood sugar level， shorten hospitalization time and reduce the incidence of complications. Therefore， it is worth adopting and applying.
[Key words] Elderly patients in general thoracic surgery; Diabetes mellitus; Perioperative nursing intervention
普胸外科手术方式较多，较为常见的包括：食管癌根治术、肺叶切除术、纵膈肿瘤切除术以及左侧全肺切除术等[1-2]。与此同时，临床研究发现，普胸外科老年患者伴糖尿病的发生几率颇高，为了改善该类患者的生活质量，需采取及时有效的护理干预方案。该次采取该院于2017年2月—2018年2月收治的普胸外科伴糖尿病疾病患者作为研究的对象，其目的是分析评价围手术期护理干预在其中的应用效果，具体研究成果如下。
1 资料与方法
1.1 一般资料
该次纳入研究的普胸外科老年伴糖尿病患者80例，均知情签署相关医护同意书，满足各项手术指证条件，且符合世界卫生组织(WHO)制定的相关“糖尿病”诊断标准;此外排除存在手术禁忌证及合并其他严重脏器疾病者。按随机分组法分成，观察组40例中，男性61～78岁，平均为(68.5±1.3)岁;病程为6个月～4年，平均为(2.3±0.2)年。对照组40例中，男性62～79岁，平均为(68.7±1.4)岁;病程为6个月～4年，平均为(2.4±0.3)年。在一般资料方面，两组比较差异无统计学意义(P>0.05)，有可比的意义。
1.2 方法, http://www.100md.com(陈梅英)