糖尿病合并胆囊结石患者腹腔镜胆囊切除术护理方式研究.docVIP

糖尿病合并胆囊结石患者腹腔镜胆囊切除术护理方式研究 　　[摘要] 目的 研究并分析针对接受腹腔镜胆囊切除术的糖尿病合并胆囊结石患者的有效护理方式。方法 收集2013年5月―2017年7月糖尿病合并胆囊结石患者共73例，均行腹腔镜胆囊切除术，总结有效的护理方式。结果 患者手术均顺利完成，术中血糖控制在（7.62±1.31）mmol/L，且术后血糖控制在（6.55±1.48）mmol/L。手术后2例患者发生低血糖，2例出现泌尿系统感染，1例出现切口愈合不良，在经过对症处理后均痊愈。 结论 针对糖尿病合并胆囊结石患者，在其接受腹腔镜胆囊切除术时应加强围术期护理，能够有效控制术中及术后的血糖波动，且术后并发症少，保障手术疗效。 　　[关键词] 腹腔镜胆囊切除术；糖尿病；胆囊结石；护理方式 　　[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2017）09（b）-0123-02 　　Research on Nursing Method of？Laparoscopic Cholecystectomy Surgery in Patients with Diabetes and Cholecystlithiasis 　　ZHOU Xian-fen 　　Inpatient Comprehensive Ward， Ebian Yi Autonomous County Hospital of Traditional Chinese Medicine， Leshan， Sichuan Province， 614300 China 　　[Abstract] Objective To research and analyze the effective nursing method of？laparoscopic cholecystectomy surgery in patients with diabetes and cholecystlithiasis. Methods 73 cases of patients with diabetes and cholecystlithiasis were collected for laparoscopic cholecystectomy surgery， and the effective nursing method was summarized. Results The surgery of all patients was successfully finished， and the blood glucose control in operation and after operation was respectively （7.62±1.31）mmol/L and （6.55±1.48）mmol/L， after surgery， there were 2 cases with hypoglycemia， 2 cases with urinary system infection， and 1 case with adverse incision healing， and all patients were healed after the systematic treatment. Conclusion We should enhance the periopertive nursing at the time of cholecystlithiasis， which can effectively control the blood glucose fluctuation in operation and after operation and the postoperative complications are few， which can ensure the curative effect. 　　[Key words] Laparoscopic cholecystectomy surgery； Diabetes； Cholecystlithiasis； Nursing method 　　胆囊结石患者需要接受手术治疗，但若合并糖尿病则会显著提升手术风险。腹腔镜胆囊切除术为该疾病提供了新的治疗方式，不但保留了非手术疗法和传统手术的优势，而且同时具有疼痛轻、损伤小、瘢痕小、痛苦少等特点[1-2]。为了确保手术的顺利实施，围术期的护理也十分重要[3]。该次研究对2013年5月―2017年7月73例接受腹腔镜胆囊切除术的糖尿病合并胆囊结石患者的临床资料进行了回顾性分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2013