动态血糖监测联合胰岛素泵在普外科围手术期糖尿病患者中的应用及护理分析

Application and nursing analysis of dynamic blood glucose monitoring combined with insulin pump in perioperative diabetes patients in general surgery

目的:探讨给予普外科围术期糖尿病患者应用动态血糖监测联合胰岛素泵的效果及相关护理方法。方法:选取收治的100例2型糖尿病患者随机分成观察组(n=50)与对照组(n=50),两组均给予患者持续皮下输注诺和灵R,在此期间给予对照组应用床旁血糖监测方案,给予观察组患者使用动态血糖监测系统监测血糖,两组患者在血糖监测期间均予以相同的护理方式,观察两组患者治疗前后血糖变化情况及患者术后相关并发症发生情况。结果:两组患者在治疗1周后空腹血糖、餐后2 h血糖水平均较治疗前降低,但是观察组指标降低幅度明显大于对照组,差异有统计学意义(P<0.05);观察组患者术后低血糖、切口感染等相关并发症的总发生率为6.00%,明显低于对照组24.00%的总发生率,差异有统计学意义(P<0.05)。结论:针对2型糖尿病并行手术治疗的患者,在使用胰岛素泵注期间,联合使用动态血糖监测系统监测并控制血糖,且实施有效的护理,可以有效降低患者血糖及术后相关并发症发生率,值得推广。

Objective To explore the effect of dynamic blood glucose monitoring + insulin pump on perioperative diabetes mellitus patients in general surgery and related nursing methods.Method 100 patients with type 2 diabetes were selected and randomly divided into observation group(n = 50) and control group(n = 50),two groups were given continuous subcutaneous infusion in patients with R and spirit,their control group during the application of bedside blood sugar monitoring programme,giving observation group of patients using dynamic monitoring of blood sugar,blood glucose monitoring system in the two groups during the blood glucose monitoring of patients to be the same way of nursing care,observation on the change of the two groups of patients before and after treatment the blood sugar and related complications following surgery patients.Results The fasting blood glucose and 2 h postprandial blood glucose levels in both groups were lower than those before the treatment one week after the treatment,but the reduction of the indicators in the observation group was significantly greater than that in the control group(P<0.05).The total incidence of postoperative hypoglycemia,incision infection and other related complications in the observation group was 6.00%,significantly lower than the total incidence of 24.00% in the control group(P<0.05).Conclusion For patients with type 2 diabetes treated with surgery,during the use of insulin pumping,the combined use of dynamic blood glucose monitoring system to monitor and control blood glucose,and the implementation of effective nursing,can effectively reduce the incidence of blood glucose and postoperative complications,worthy of promotion.