糖尿病患者骨科手术围手术期的护理

Perioperative Nurse of Orthopaedic Surgery in Patients with Diabetes Mellitus

目的探讨糖尿病患者骨科手术围手术期血糖的控制和对护理的影响。方法回顾性分析研究了68例并存糖尿病的骨疾病患者接受骨科手术治疗围手术期的血糖控制和护理情况。结果68例患者入院时空腹血糖为(13.0±1.5)mmol/L。术前经胰岛素控制血糖至(7.0±2.3)mmol/L后,分别接受髋关节置换、股骨头置换、腰椎滑脱协和钢板脊柱内固定系统复位等复杂骨科手术治疗,术中及术后继续用胰岛素控制血糖至基本正常水平,术后血糖为(8.0±1.8)mmol/L,并针对病人情况制定相应护理措施,68例中,仅1例(1.47%)术后内固定松动,未发生其他护理并发症。术后患者肢体功能恢复良好。结论糖尿病患者经正常围手术期护理,将血糖控制至基本正常水平,可获得满意疗效。

objective To evaluate the perioperative blood glucose control on orthopaedic surgery results and nurse in the patients with diabetes mellitus.Methods The blood glucose control and nurse during perioperative period in 68 patients with diabetes mellitus who had accepted the orthopaedic surgery were analysed retrospectively.Results The average fasting blood glucose level of 35 cases on admission was (13. 0±1.5)mmol/L, and was controlled to(7.0±2.3)mmol/L, with insulin before surgery. Insulin was kept on being ...