作　　者： (胡丹）;

机构地区： 中国医科大学附属盛京医院肝胆脾外科,辽宁沈阳110004

出　　处： 《实用临床医药杂志》 2017年第16期62-64,共3页

摘　　要： 目的探讨护理干预对胆管癌合并糖尿病围术期患者血糖控制及并发症的影响。方法将收治的胆管癌合并糖尿病患者52例随机分为研究组与对照组各26例,对照组采用常规护理方法,研究组在此基础上采用综合护理干预方法,对所有研究对象进行10个月随访。比较2组患者围术期血糖(空腹血糖、餐后2 h血糖、糖化血红蛋白)的平均水平及术后并发症发生情况。结果干预后2组患者的血糖平均值比较研究组低于对照组(P<0.05);2组患者术后并发症发生频数比较研究组低于对照组(P<0.05)。结论对胆管癌合并糖尿病围术期患者实施综合护理干预可改善患者的血糖控制情况,降低并发症的发生,改善治疗效果,可在今后的临床工作中推广应用。 Objective To investigate the effect of nursing intervention on blood glucose control and complications in patients with cholangiocarcinoma and diabetes mellitns during perioperative period. Methods A total of 52 cholangiocarcinoma cases with diabetes mellitus in our hospital were randomly divided into study group with 26 cases and control group with 26 cases, control group used conventional nursing, while the study group was given comprehensive nursing intervention, and all the patients were followed up for 10 months. The perioperative blood glucose （fasting blood glucose, post- prandial 2 h blood glucose, glycosylated hemoglobin） and postoperative complications were compared between the two groups. Results After the intervention, the study group had lower average blood glucose compared with the control group （P 〈 0.05 ） ; Incidence of postoperative complication in the study group was lower than that in the control group （P 〈 0.05 ）. Conclusion Implementation of comprehensive nursing intervention can significantly improve the patient＇s blood glucose control, reduce the incidence of complications, improve the therapeutic effect, and it can be widely used in clinical work in the future.

关 键 词： 综合护理干预 胆管癌 糖尿病 并发症