乳腺癌合并糖尿病的围手术期护理分析.docxVIP

乳腺癌合并糖尿病的围手术期护理分析 　　[摘要] 目的 探讨乳腺癌合并糖尿病的围手术期护理效果。方法 抽取XX年1月―XX年1月至该院就诊的乳腺癌合并糖尿病患者92例，其中常规组采取一般护理模式，实验组采取综合性的护理干预模式，对比两组的护理效果。结果 术后实验组患者的血糖水平明显获得了改善，相比常规组差异有统计学意义；实验组术前准备时间与总住院时间均明显短于常规组；实验组与常规组的并发症发生率分别为%与%差异有统计学意义。结论 对乳腺癌合并糖尿病患者采取综合性的围手术期护理干预措施，便于缩短住院时间，值得采纳。　　[关键词] 围手术期；糖尿病；乳腺癌；护理　　[中图分类号] R47 [文献标识码] A [文章编号] 1672--0007-02　　[Abstract] Objective To study the nursing effect of breast cancer and diabetes during the operative period. Methods 92 cases of patients with breast cancer and diabetes diagnosed in our hospital from January XX to January XX were selected， the routine group used the general nursing model， while the experimental group used the general nursing intervention model， and the nursing effect was compared between the two groups. Results The blood glucose level in the experimental group after surgery was obviously improved， and the difference between the two groups was obvious， and the preoperative preparation time and total length of stay in the experimental group were obviously shorter than those in the routine group， and the incidence rate of complications in the experimental group and in the routine group was respectively % and %，the differences was statistically significant. Conclusion The general nursing intervention measures during the preoperative period in patients in breast cancer and diabetes contributes to shortening the length of stay， and it is worth application.　　[Key words] During the perioperative period； Diabetes； Breast cancer； Nursing　　乳腺癌属于较为频发的一类女性恶性肿瘤，且近些年来该类疾病的发病率逐渐递增，成为女性发病率最高的一类恶性肿瘤，目前临床上对该类疾病主要采取手术进行治疗[1]。而糖尿病属于外科手术中的一项危险因素，将会导致多种并发症，使得手术治疗效果受到一定的影响，导致患者的心理压力巨大，引发术后并发症[2]。为此，该次研究抽取XX年1月―XX年1月到该院就诊的92例患者为研究对象，对乳腺癌合并糖尿病患者采取围手术期护理干预措施，分析其应用价值，现报道如下。　　1 资料与方法　　 一般资料　　抽取至该院就诊的乳腺癌合并糖尿病患者92例，所有患者的血浆葡萄糖浓度均≥ mmol/L，空腹状态下的血糖浓度均≥ mmol/L，给予葡萄糖耐量实验得知2 h的血浆葡萄糖浓度均≥ mmol/L。　　依照入院的次序进行分组，每组均46例。常规组：年龄区间46～84岁，平均岁，22例左侧乳腺癌，24例右侧乳腺癌，手术类型：38例乳腺癌根治性切除，8例乳腺癌改良根治性切除。实验组：年龄区间48～83岁，平均岁，20例左侧乳腺癌，26例右侧乳腺癌，手术类型：36例乳腺癌根治性切除，10例乳腺癌改良根治性切除。对比两组患者的