非糖尿病腹部手术患者围手术期的血糖护理干预

Blood Glucose Nursing Intervention on Non-diabetic Patients with Abdominal Surgeries during Perioperations

目的探讨非糖尿病腹部手术患者围手术期基于血糖监测的护理干预对患者血糖管理及康复影响。方法选取2016年2月—2017年3月收治的行腹部手术非糖尿病患者96例,随机分为干预组(常规护理+基于血糖监测的护理干预,48例)和对照组(常规护理,48例),比较两组患者围术期血糖变化、围手术期指标及并发症发生情况。结果术前1 d和术后48 h两组患者血糖水平无统计学意义(P>0.05);麻醉前10 min、手术30 min、术后1 h、术后12 h及术后24 h干预组血糖水平均低于对照组(P<0.05)。两组患者手术时间、术中出血量无统计学意义(P>0.05);干预组肛门排气时间、住院时间均短于对照组(P<0.05)。干预组切口感染、切口不愈合、腹胀、低血糖发生率均低于对照组(P<0.05)。结论非糖尿病腹部手术患者围手术期基于血糖监测的护理干预可调控患者血糖水平稳定,促进患者术后康复。

Objective To explore the effect of nursing intervention on blood glucose management and rehabilitation in non-diabetic patients with abdominal surgeries.Methods 96 non-diabetic patients with abdominal surgeries in our hospital from February,2016 to March,2017 were selected and randomly divided into intervention group(48 cases with routine nursing and blood glucose monitoring nursing intervention)and control group(48 cases with routine nursing).The blood glucose change,indicators and complications in perioperative period were compared between the two groups.Results There was no significant difference in blood glucose level between the two groups 1 d before and 48 h after operation(P>0.05);10 min before anesthesia,30 min,1 h,12 h and 24 h after operation,the levels of blood glucose in the intervention group were significantly lower than those respectively in the control group(P<0.05).The operation time and intraoperative blood loss between the two groups showed no statistical significance(P>0.05).The anal exhausting time and hospital stay in the intervention group were shorter than those in the control group(P<0.05).The incidence of incision infection and disunion,bloating and hypoglycemia in the intervention group were lower than those in the control group(P<0.05).Conclusion Blood glucose nursing intervention on non-diabetic patients with abdominal surgeries during perioperation can maintain the stability of the level of blood glucose and promote patients'postoperative rehabilitation.