老年糖尿病患者胃肠道手术后血糖变化趋势分析及护理干预

Analysis of blood glucose change tendency of elderly patients with diabetes after undergoing gastrointestinal surgery and nursing interventions for them

目的 探讨老年糖尿病患者胃肠道手术后血糖变化趋势及护理干预方法.方法 采用血糖仪测量并记录2008-2010年50例接受胃肠道手术的老年糖尿病患者术后血糖的变化趋势,记录术前,术后返病房即刻,术后1,2,4,8,12,24,48 h等时间点的血糖水平及胰岛素用量,并进行统计分析.结果 老年糖尿病患者胃肠道手术后24 h内血糖较术前明显升高,其中术后即刻、术后4 h血糖升高最为明显.术后2 h胰岛素用量最大.结论 老年糖尿病患者胃肠道手术后连续血糖监测,通过对胰岛素的合理应用及适当的术后护理措施可以平稳降血糖,减少围手术期并发症发生,使患者早日康复.

Objective To study the blood glucose change regularity within 48 hours of elderly patients with diabetes after gastrointestinal surgery and summarize effective blood glucose monitoring and nursing intervention. Methods Using blood glucose meters, blood glucose changes and insulin dosage of a total of 48 elderly patients with diabetes after gastrointestinal surgery have been measured and recorded right after operation and 1h, 2h, 4 h,8 h, 12 h,24 h and 48 h time points after operation. All data of patients were statistically analyzed. Results The blood sugar level of elderly patients with diabetes after gastrointestinal surgery within 24 hours after operation was significantly higher than that of before operation （ P 〉 0. 05）. Especially blood sugar level of patients was higher in right after returning to SICU and 2 h after operation, and insulin dosage was the biggest at 4 h after operation. Conclusions Monitoring blood glucose, using of insulin and postoperative nursing during peri-operative period can keep blood glucose stable, prevent postoperative complications and help patients recover earlier.