妇科合并糖尿病手术患者的术前护理及术中配合

Preoperative Nursing and Intraoperative Coordination for Gynecologic Surgical Patients Complicated with Diabetes Mellitus

目的探讨妇科合并糖尿病手术患者的术前护理及术中配合。方法选取该院2013年3月—2014年6月收治的60例妇科合并糖尿病手术患者作为研究对象,采取心理护理,密切监视血糖水平,加强术前护理及术中护理配合,避免并发症发生。结果 70例患者均顺利完成手术,手术时间120-160 min,20例术中出血达500 mL以上,其余出血量在100-500 mL之间。所有患者术后创口均在一期愈合,血糖稳定,无发热、创口感染等并发症发生,均安全度过围手术期。结论妇科合并糖尿病手术患者的风险比一般人高,但只要做好术前准备护理及术中配合工作,加强对血糖水平的监测,并及时调整控制,是能够保证患者手术治疗效果和安全康复的。

Objective To study the preoperative nursing and intraoperative coordination for gynecologic surgical patients complicated with diabetes mellitus. Methods 60 gynecologic surgical patients complicated with diabetes mellitus admitted in our hospital from March＂ 2013 to June 2014 were selected as the subjects. Psychological nursing was given to the patients, the blood sugar levels of them were monitored closely, and the preoperative nursing and nursing coordination during operation were strengthened so as to avoid the occurrence of complications. Results All the 60 patients underwent the surgery successfully. The duration of the operation was 120-160min, the intraoperative blood loss of 20 patients was over 500ml, and that of the other patients was between 100-500ml. All the patients survived the perioperative period safely, the surgical wound of them was healed by first intention, the blood sugar level was stable, no fever and wound infection and other complications occurred. Conclusion Although the risk of gy- necologic surgical patients complicated with diabetes mellitus is higher than that of the ordinary people, as long as the preoperative preparation and nursing and intraoperative coordination are done well, the blood glucose monitoring is strengthened and adjusted and controlled timely, can guarantee the surgical therapeutic efficacy and safe rehabilitation of the patients.