探討骨折合并糖尿病老年手術(shù)患者血糖控制和并發(fā)癥的觀察及護(hù)理體會(huì)

　　[摘要] 目的 研究分析骨折合并糖尿病老年手術(shù)患者的血糖控制以及并發(fā)癥觀察效果，對(duì)臨床護(hù)理進(jìn)行總結(jié)。 方法 選取2014年7月—2016年4月該院收治的75例骨折合并糖尿病老年患者來(lái)分析研究，將患者分組為常規(guī)組合試驗(yàn)組。常規(guī)組使用常規(guī)護(hù)理，試驗(yàn)組使用常規(guī)護(hù)理和強(qiáng)化血糖控制以及并發(fā)癥預(yù)防處理措施。對(duì)兩組的護(hù)理滿意度、I期愈合率、拆線時(shí)間、住院時(shí)間、并發(fā)癥情況進(jìn)行對(duì)比分析。 結(jié)果 試驗(yàn)組患者的護(hù)理滿意度是100%，常規(guī)組的護(hù)理滿意度是81.08%，兩組結(jié)果差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；試驗(yàn)組拆線時(shí)間平均（13.23±2.34）d，住院時(shí)間為（8.53±1.44）d；常規(guī)組切口拆線時(shí)間為（17.72±4.95）d，住院時(shí)間為（10.46±2.25）d，（P>0.05）；試驗(yàn)組血糖水平比常規(guī)組低（P<0.05）；試驗(yàn)組并發(fā)癥幾率是5.26%，常規(guī)組是32.43%（P<0.05）。 結(jié)論 骨折合并糖尿病老年手術(shù)患者接受血糖控制和并發(fā)癥預(yù)防護(hù)理措施能夠促進(jìn)患者的愈合，縮短拆線時(shí)間和住院時(shí)間，降低并發(fā)癥幾率，提升患者護(hù)理滿意度，臨床中應(yīng)該進(jìn)行推廣使用。
　　[關(guān)鍵詞] 骨折合并糖尿病；老年手術(shù)患者；血糖控制；并發(fā)癥；護(hù)理體會(huì)
　　[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-4062（2017）11（b）-0108-02
　　[Abstract] Objective To research and analyze the blood glucose control and observation on complications and nursing experience of senile operative patients with fracture and diabetes. Methods 75 cases of senile patients with fracture and diabetes in our hospital from July 2014 to April 2016 were selected for analysis and research and divided into two groups， the routine group used the routine nursing， while the test group used the routine nursing and enhanced the blood glucose control in order to prevent complications， and the nursing satisfactory degree， healing rate in I stage， clearing time， length of stay and complications were compared between the two groups. Results The nursing satisfactory degree in the test group and in the routine group was respectively 100% and 81.08%， and the difference was statistically significant（P<0.05）， and the average clearing time and length of stay in the test group and in the routine group were respectively （13.23±2.34）d， （8.53±1.44）d and （17.72±4.95）d， （10.46±2.25）d（P>0.05）， and the blood glucose level in the test group was lower than that in the routine group（P<0.05）， and the occurrence probability of complications in the test group and in the routine group was respectively 5.26% and 32.43%（P<0.05）. Conclusion The blood glucose control and preventive nursing measures of complications of senile operative patients with fracture and diabetes can promote the healing of patients， shorten the clearing time and length of stay， reduce the occurrence probability of complications， and improve the nursing satisfactory degree， which can be promoted and applied in clinic.
　　[Key words]Fracture and diabetes； Senile operative patients； Blood glucose control； Complication； Nursing experience
　　骨折合并糖尿病是老年多見(jiàn)疾病，因?yàn)楣钦酆吞悄虿⊥瑫r(shí)發(fā)生，導(dǎo)致了骨折愈合不佳，所以圍手術(shù)期需要對(duì)患者的空腹血糖進(jìn)行控制，降低手術(shù)的風(fēng)險(xiǎn)性，提升手術(shù)效果[1]。此次選取了2014年7月—2016年4月該院收治的75例骨折合并糖尿病老年患者來(lái)分析研究，對(duì)強(qiáng)化血糖控制和并發(fā)癥觀察預(yù)防的護(hù)理方式效果進(jìn)行研究，現(xiàn)報(bào)道如下。

相關(guān)熱詞搜索：并發(fā)癥 血糖 骨折 合并 糖尿病