腹腔镜治疗阑尾炎合并糖尿病护理效果分析.docVIP

腹腔镜治疗阑尾炎合并糖尿病护理效果分析 　　DOI：10.16658/j.cnki.1672-4062.2017.05.097 　　[摘要] 目的 分析腹腔镜治疗阑尾炎合并糖尿病的护理效果。方法 择取该院入院时间在2016年1―12月的86例患者，随机分为实验组、对照组，每组43例患者。对照组43例患者接受常规护理干预， 实验组43例患者接受常规护理的基础上加行综合护理干预。结果 实验组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组，差异有统计学意义（P0.05）。实验组患者并发症发生率2.3%低于对照组23.2%，差异有统计学意义（P0.05）。 结论 腹腔镜治疗阑尾炎合并糖尿病期间做好围术期综合护理干预，可以提高手术治疗效果、血糖控制效果、降低术后并发症发生率，符合患者需求，建议实施。 　　[关键词] 腹腔镜；阑尾炎；糖尿病；护理效果 　　[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2017）03（a）-0097-02 　　Analysis of Nursing Effect of Laparoscope in Treatment of Appendicitis and Diabetes 　　DUAN Xiu-hua 　　Operating Room， General Hospital of Qitaihe coal cleaning Refco Group Ltd， Qitaihe， Heilongjiang Province， 154600 China 　　[Abstract] Objective To analyze the nursing effect of laparoscope in treatment of appendicitis and diabetes. Methods 86 cases of patients treated in our hospital from January to December 2016 were selected and randomly divided into two groups with 43 cases in each， the control group with 43 cases adopted the routine nursing intervention， while the experimental group adopted the comprehensive nursing intervention on the basis of the control group. Results The fasting blood glucose， blood glucose at 2h after dinner and glycosylated hemoglobin in the experimental group were lower than those in the control group， the difference was statistically significant（P0.05）， and the incidence rate of complications in the experimental group was lower than that in the control group（2.3% vs 23.2%）， and the difference was obvious with statistical significance（P0.05）. Conclusion Doing a good job in the comprehensive nursing intervention after the laparoscope in treatment of appendicitis and diabetes can improve the operation treatment effect and blood glucose control effect， reduce the incidence rate of postoperative complications and meet the demands of patients， and it is suggested to be implemented. 　　[Key words] Laparoscope； Appendicitis； Diabetes； Nursing effect 　　阑尾炎是普外科常见性疾病之一，病情短时间内迅速发展，以手术治疗为主，常用手术方案为腹腔镜手术以及传统开腹手术。