糖尿病合并急性化脓性乳腺炎围手术期护理

郭清华

[摘要] 目的 探讨糖尿病合并急性化脓性乳腺炎围手术期护理。方法 抽取2018年7月—2019年7月在该院接受治疗的糖尿病合并急性化脓性乳腺炎患者78例为研究对象，按照随机数表法将其分为两组，即对照组与实验组，每组患者均为39例。对照组行常规护理，实验组在常规护理基础上行护理干预，对比两组护理效果。结果 实验组只有1例患者产生乳瘘，发生率为2.56%，对照组有6例患者产生乳瘘，发生率为15.38%（χ2=4.215，P<0.05）;实验组患者空腹血糖（FPG）指标值为（5.4±1.0）mmol/L，糖化血红蛋白HbA1c 指标值为（6.2±1.1）%，餐后2 h血糖（2 hPG）指标值为（7.1±0.8）mmol/L。 对照组患者空腹血糖（FPG）指标值为（7.1±1.2）mmol/L，糖化血红蛋白HbA1c 指标值为（7.3±1.2）%，餐后2 h血糖（2 hPG）指标值为（8.1±0.5）mmol/L（t=3.58、2.97，4.57，P<0.05）。结论 对糖尿病合并急性化脓性乳腺炎患者进行护理干预能够显著降低患者的空腹血糖和餐后2 h血糖浓度，降低患者的糖化血红蛋白，缩短患者的恢复周期。

[关键词] 糖尿病;并急性化脓性乳腺炎;围手术期护理

[中图分类号] R248.1          [文献标识码] A          [文章編号] 1672-4062（2020）05（b）-0137-03

Perioperative Nursing of Diabetes Complicated with Acute Suppurative Mastitis

GUO Qing-hua

Department of Internal Medicine， Guanxian Traditional Chinese Medicine Hospital， Liaocheng， Shandong Province， 252500 China

[Abstract] Objective To investigate the perioperative nursing of diabetes complicated with acute suppurative mastitis. Methods 78 cases of diabetic patients with acute suppurative mastitis who were treated in the hospital from July 2018 to July 2019 were selected as the research subjects， and they were divided into two groups according to the random number table method， namely the control group and the experimental group. There were 39 patients in each group. The control group received routine nursing care， and the experimental group received nursing intervention on the basis of conventional nursing care. The nursing effects of the two groups were compared. Results Only one patient in the experimental group developed breast fistula， the incidence rate was 2.56%， and 6 patients in the control group developed breast fistula， the incidence rate was 15.38%（t= 4.215， P<0.05）; fasting blood glucose （FPG ） index value was （5.4±1.0） mmol/L， the glycated hemoglobin HbA1c index value was （6.2±1.1）%， and the two-hour blood glucose （2 hPG） index value was （7.1±0.8） mmol/L. In the control group， the fasting blood glucose （FPG） index value was （7.1±1.2） mmol/L， the glycated hemoglobin HbA1c index value was （7.3±1.2）%， and the two-hour blood glucose （2 hPG） index value after the meal was （8.1±0.5）. mmol/L（t=3.58， 2.97，4.57， P<0.05）. Conclusion Nursing intervention for patients with diabetes combined with acute purulent mastitis can significantly reduce the fasting blood glucose and 2h postprandial blood glucose concentration of patients， reduce the glycated hemoglobin of patients， shorten the recovery period of patients.

[Key words] Diabetes; With acute suppurative mastitis; Perioperative nursing

糖尿病合并急性化脓性乳腺炎对患者的生活有很大影响，而且还增大了治疗难度，对患者的情绪有显著影响，不利于维持良好的护患关系，也不利于提高护理质量[1]。常规护理模式虽然能从一定程度上稳定患者的血糖，但是不能从根本上改善患者的生活质量，研究发现对糖尿病合并急性化脓性乳腺炎患者行护理干预能够显著降低患者的血糖浓度，稳定患者各项生命体征。因此，在护理过程中，要改变传统护理方法，在常规护理基础上行护理干预，从根本上降低患者的血糖，改善患者的生活质量，进一步提升护理效果。该次研究抽取2018年7月—2019年7月在该院接受治疗的糖尿病合并急性化脓性乳腺炎患者78例为研究对象，探讨糖尿病合并急性化脓性乳腺炎围手术期护理，现报道如下。

1  资料与方法

1.1  一般资料

抽取在该院接受治疗的糖尿病合并急性化脓性乳腺炎患者78例为研究对象，按照随机数表法将其分为两组，即对照组与实验组，每组患者均为39例。……