风险护理在糖尿病合并胰腺癌中的应用效果及其对患者微血管结构的影响

Application effect of risk nursing on diabetes mellitus combined with pancreatic cancer and its influence on the microvascular structure of patients

目的探究风险护理在糖尿病合并胰腺癌中的应用效果。方法选取我院收治的60例糖尿病合并胰腺癌患者作为研究对象,随机将其分为对照组和研究组,各30例。两组患者均进行手术治疗,对照组采用常规护理模式,研究组采用风险护理模式,比较两组患者护理干预前、后的糖代谢指标水平、术后并发症的发生情况、护理满意度、护理干预前、后的血清SFIt-1及VEGF水平。结果干预后,两组的FPG与HbA1c水平均显著降低,且研究组显著低于对照组(P<0.05)。研究组发生并发症患者的占比显著低于对照组(P<0.05)。研究组的满意度显著高于对照组(P<0.05)。干预后,两组的血清SFIt-1和VEGF水平均显著降低,且研究组显著低于对照组(P<0.05)。结论应用风险护理能够提高糖尿病合并胰腺癌患者的治疗效果,降低术后并发症的发生率,促进其伤口恢复愈合,改善糖代谢情况,同时能够降低患者微血管相关因子水平,减少微血管的生成。

Objective To explore the application effect of risk nursing on diabetes mellitus combined with pancreatic cancer.Methods A total of 60 patients with diabetes mellitus combined with pancreatic cancer admitted in our hospital were selected as the study objects and randomly divided into control group and study group,with 30 cases in each group.The patients in the two groups were treated by operation,the control group was given routine nursing model,and the study group was given risk nursing model.The glucose metabolism indexes before and after nursing intervention,postoperative complications,nursing satisfaction,serum SFIt-1 and VEGF levels before and after nursing intervention were compared between the two groups.Results After intervention,the levels of FPG and HbA1c in the two groups decreased significantly,and those in the study group were lower than the control group(P<0.05).The proportion of patients with complications in the study group was significantly lower than that in the control group(P<0.05).The satisfaction of nursing in the study group was significantly higher than that in the control group(P<0.05).After intervention,the levels of serum SFIt-1 and VEGF in the two groups decreased significantly,and those in the study group were lower than the control group(P<0.05).Conclusion Risk nursing can improve the treatment effect of patients with diabetes mellitus combined with pancreatic cancer,reduce the incidence of postoperative complications,promote wound healing,amaliorate glucose metabolism,reduce the level of microvascular related factors and microvascular formation.