手术室护理干预在结石性胆囊炎合并糖尿病患者中的应用效果

Application Effect of Nursing Intervention in Operating Room in Patients with Calculous Cholecystitis Complicated with Diabetes Mellitus

目的分析手术室护理干预在结石性胆囊炎合并糖尿病患者中的应用效果。方法于2020年1月—2021年6月在福建医科大学附属龙岩第一医院治疗的结石性胆囊炎合并糖尿病患者中随机选取70例进行研究,根据电脑中排序单双号的原则将其随机分为对照组和观察组,每组35例,对其均行手术治疗,在手术治疗的过程中分别对其实施常规护理和手术室综合护理干预。对比两组患者术中、术后血糖水平及各项指标、术后并发症。结果观察组的血糖水平术中、术后分别为(7.25±1.26)、(7.33±1.27)mmol/L,均低于对照组的(9.94±1.94)、(9.12±1.82)mmol/L,差异有统计学意义(t=6.880、4.772,P<0.05);观察组首次排气时间为(7.76±1.21)h,进食时间为(10.21±1.52)h,下床活动时间为(6.13±1.05)d,住院时间为(7.34±1.21)d,均低于对照组的(9.34±1.62)h、(13.69±1.97)h、(9.44±1.83)d、(10.33±1.84)d,差异有统计学意义(t=4.623、8.274、9.281、8.032,P<0.05);观察组的术后并发症发生率(5.71%)较对照组(31.43%)更低,差异有统计学意义(χ^(2)=7.652,P<0.05)。结论临床上对结石性胆囊炎合并糖尿病患者实施手术治疗时,护理人员对其实施手术室综合护理干预,不但能够将患者的血糖水平控制在稳定的范围内,并且还能有效缩短患者术后排气时间、排气时间、下床活动时间以及住院时间,对促进患者术后恢复起到了积极的作用,同时,所引发的术后并发症更少,为手术治疗的安全性及可靠性提供了保障,效果显著。

Objective To analyze the application effect of operating room nursing intervention in patients with calculous cholecystitis complicated with diabetes mellitus.Methods From January 2020 to June 2021,70 patients with calculous cholecystitis complicated with diabetes mellitus treated in Longyan First Hospital Affiliated to Fujian Medical University were randomly selected for study.There were 35 cases in each group,all of them were treated with surgery,routine nursing and comprehensive nursing intervention in the operating room were respectively given to them during the surgical treatment.Intraoperative and postoperative blood glucose levels and various indicators,postoperative complications of patient in the two groups were compared.Results The intraoperative and postoperative blood glucose levels of the observation group were(7.25±1.26)mmol/L,(7.33±1.27)mmol/L respectively,which were lower than those of the control group(9.94±1.94)mmol/L,(9.12±1.82)mmol/L,the difference was statistically significant(t=6.880,4.772,P<0.05);the first exhaust time(7.76±1.21)h,eating time(10.21±1.52)h,getting out of bed activity time(6.13±1.05)d and hospitalization time(7.34±1.21)d in the observation group were lower than those in the control group(9.34±1.62)h,(13.69±1.97)h,(9.44±1.83)d and(10.33±1.84)d,the difference was statistically significant(t=4.623,8.274,9.281,8.023,P<0.05);the incidence of postoperative complications in the observation group(5.71%)was lower than that in the control group(31.43%),and the difference was statistically significant(χ^(2)=7.652,P<0.05).Conclusion When surgical treatment of patients with calculous cholecystitis complicated with diabetes mellitus is performed clinically,the nursing staff implement comprehensive nursing intervention in the operating room,which can not only control the blood glucose level of the patient within a stable range,but also effectively shorten the postoperative period,exhaust time,time to get out of bed and stay in hospital,which plays a positive role in promoting postoperative recovery of patients.At the same time,it causes fewer postoperative complications,providing the safety and reliability of surgical treatment.