外科合并糖尿病患者的换药护理体会

Experience of Changing Dressing Nursing in Patients with Diabetes Combined with Surgery

目的 探究外科合并糖尿病患者的换药护理体会.方法 纳入60例2018年1—12月该院外科合并糖尿病患者开展研究,均进行合理的换药护理,观察护理中患者血糖控制及创面愈合情况.结果 护理前患者空腹血糖(14.28±3.56)mmol/L,护理后为(6.44±1.23)mmol/L,结果对比差异有统计学意义(P<0.05);所有糖尿病足患者创面愈合良好,创面愈合时间(22.56±3.87)d,未发生截肢;出现3例低血糖反应,发生率为5.00%,经过口服高糖、10%葡萄糖静滴处理后均有效缓解.结论 外科合并糖尿病患者经过有效的换药护理,可促进创面愈合,减少感染的发生,有效控制血糖,改善预后.

Objective To explore the experience of dressing nursing in patients with diabetes combined with surgery.Methods A total of 60 patients with diabetes mellitus in the hospital from January to December 2018 were enrolled in the study.All of them underwent reasonable dressing nursing to observe the blood glucose control and wound healing in nursing patients.Results The fasting blood glucose(14.28±3.56)mmol/L before nursing and(6.44±1.23)mmol/L after nursing were statistically significant different(P<0.05);the wound healing of all diabetic foot patients was good,and the wound healing time(22.56±3.87)d,no amputation occurred;3 cases of hypoglycemic reaction occurred,the incidence rate was 5.00%,after oral high glucose and 10%glucose intravenous drip treatment were all effective.Conclusion Surgery patients with diabetes undergo effective dressing change,which can promote wound healing,reduce the incidence of infection,effectively control blood glucose,and improve prognosis.