120例老年股骨骨折患者术后血糖变化的护理启示

目的观察老年股骨骨折患者术后血糖变化,总结其护理对策.方法：选择120 例60 岁以上骨折患者,监测术前空腹血糖（FBP）、餐后2h 血糖（ PBG）并测定糖化血红蛋白（HbA1c）;术后2 天监测FBP.结果：术前血糖异常者为41.7%,术后第1 天血糖异常者为61.0%,术后第2 天血糖异常者为63.0%,术后血糖显著升高.结论：在无糖尿病老年人股骨骨折围术期（尤其是术后）,应监测血糖并采取心理护理、饮食指导等护理措施,以减少围术期应激性的血糖升高带来的损害.

Objective: to observe 120 cases of elderly patients with femoral fracture after blood sugar change, summed up the nursing countermeasures. Methods: choose 120 patients with fracture of over 60 years of age, preoperative fasting glucose place(FBP), 2 h postprandial blood glucose(PBG) and determination of glycosylated hemoglobin(HbA1c); Place 2 days postoperatively monitoring FBP. Results: the preoperative abnormal blood sugar was 41.7%, postoperative abnormal blood sugar was 61.0%, the first day after the second day of abnormal blood sugar was 63.0%, the statistical analysis showed a significant rise in postoperative blood glucose. Conclusion: in the perioperative femoral fractures in older adults without diabetes should monitor blood glucose and psychological nursing, diet guidance nursing measures to reduce the perioperative excitability of blood glucose.