糖尿病患者腹腔镜胆囊切除术围手术期护理分析

王莉

[摘要] 目的 分析糖尿病患者腹腔鏡胆囊切除术围手术期护理。 方法 选择2018年10月—2019年10月该院收治的62例糖尿病性腹腔镜胆囊切除术患者，行围手术期护理的31例为干预组，行常规护理的31例为参照组，观察两组患者血糖水平及护理效果。 结果 干预组患者HbA1c水平为（4.21±0.26）%，2 hPG水平为（6.87±0.94）mmol/L，FBG水平为（5.26±0.48）mmol/ L;参照组患者HbA1c水平为（5.13±0.24）%，2 hPG水平为（8.05±0.72）mmol/L，FBG水平为（6.73±1.29）mmol/ L，两组差异有统计学意义（P<0.05）。干预组护理后显效的共17例，有效的共13例，无效的共1例，护理有效率为96.77%（30例）;参照组护理后显效的共11例，有效的共14例，无效的共6例，护理有效率为80.65%（25例）;干预组护理有效率（96.77%）高于参照组（80.65%），差异有统计学意义（P<0.05）。 结论 在糖尿病患者腹腔镜胆囊切除术中应用围手术期护理，可提高血糖水平的稳定性，推动手术顺利进行，实现较高的护理有效率，避免并发症的出现。

[关键词] 围手术期护理;胆囊切除术;糖尿病;腹腔镜

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0120-03

Perioperative Nursing Care of Laparoscopic Cholecystectomy in Diabetic Patients

WANG Li

People's Hospital of Wulian County， Rizhao， Shandong Province， 262300 China

[Abstract] Objective To analyze the perioperative nursing of laparoscopic cholecystectomy in patients with diabetes. Methods A total of 62 patients with diabetic laparoscopic cholecystectomy admitted in the hospital from October 2018 to October 2019 were selected. The 31 patients receiving perioperative nursing were the intervention group and 31 patients receiving conventional nursing were the reference group. The patients' blood glucose level and nursing effect. Results The HbA1c level in the intervention group was （4.21±0.26）%， the 2 hPG level was （6.87±0.94） mmol/L， and the FBG level was （5.26±0.48） mmol/L. The HbA1c level in the reference group was （5.13±0.24）% The 2 hPG level was （8.05±0.72） mmol/L， and the FBG level was （6.73±1.29） mmol/L. The difference between the two groups was statistically significant （P<0.05）. A total of 17 cases in the intervention group were effective after nursing， 13 cases were effective， 1 case was ineffective， and the nursing effective rate was 96.77% （30 cases）; 11 cases were effective in the reference group， 14 cases were effective， and were ineffective A total of 6 cases， the effective rate of nursing was 80.65% （25 cases）; the effective rate of nursing in the intervention group （96.77%） was higher than the reference group （80.65%）， and the difference was statistically significant（P<0.05）. Conclusion The application of perioperative nursing in laparoscopic cholecystectomy for diabetic patients can improve the stability of blood glucose level， promote the smooth operation， achieve higher efficiency of nursing， avoid complications.

[Key words] Perioperative nursing; Cholecystectomy; Diabetes; Laparoscopy

作为慢性代谢性疾病，糖尿病发病率较高，且近年来不断上升，当合并其他疾病时，会增加治疗风险[1]。腹腔镜胆囊切除术近年来应用于胆囊息肉、胆结石的治疗中，特点是治愈率高、疗效显著、创伤小、恢复快，但在手术中易引起血糖波动，增加治疗风险，且术后还易引起伤口感染，影响患者预后恢复[2]。围手术期护理原则是以人为本，多角度实施护理，以减少术后并发症，在糖尿病腹腔镜胆囊切除术中效果显著[3]。围手术期护理要求护理人员具备熟练的护理技术和专业的护理知识，将患者病情及心理特点作为依据，制定针对性较强的个性化护理方案，以达到减少并发症的效果，继而提高患者满意度，促进其预后恢复[4]。故该研究选择2018年10月—2019年10月该院收治的62例糖尿病性腹腔镜胆囊切除术患者，旨在分析糖尿病患者腹腔镜胆囊切除术围手术期护理，现报道如下。

1  资料与方法

1.1  一般资料

选择该院收治的62例糖尿病性腹腔镜胆囊切除术患者，行围手术期护理的31例为干预组，其中有男性18例，女性13例，年龄34～75岁，平均年龄为（56.47±5.82）岁;糖尿病病程1～13年，平均病程为（6.41±2.03）年。……