老年性结肠癌合并糖尿病患者围术期护理体会

Perioperative nurse experience of elderly colon-cance patients with diabetes mellitus

目的对老年性结肠癌合并糖尿病患者围术期病情进行分析,以探讨其临床特点及采取相应的护理措施。方法对297例老年性结肠癌中41例糖尿病患者的临床资料进行回顾性分析。结果 41例糖尿病患者术后发生低血糖性休克2例(4.9%),高渗性昏迷1例(2.4%)。经积极抢救,顺利渡过危险期,无酮症酸中毒发生。结论老年性结肠癌合并糖尿病患者术后并发症及病死率较高,在围术期必须采取相应的护理措施,以减少并发症的发生。

Objective To analyze the condition of elderly colon-cancer patients with diabetes mellitus in perioperative,for discussion the clinical characteristics and to take appropriate care measures.Methods Retrospectively analysed the clinical data of 41 cases elderly colon-cancer patients with diabetes mellitus.Results 41 cases patients with diabetes mellitus,happened hypoglycemia shock 2 cases（4.9%）,hyperosmolar coma 1 case（2.4%）.The active rescue,well out of danger,no ketoacidosis occurs.Conclusion The elderly colon-cancer with diabetes mellitus has higher rate of postoperative complication and mortality,the perioperative nurse treatment is important for reduce the post operative complications.