老年糖尿病患者行人工髋关节置换术的围手术期护理

Perioperative Nursing for Elderly Patients with Diabetes Undergoing Artificial Hip Arthroplasty

目的对实施人工髋关节置换术的老年糖尿病患者的围手术期护理方法进行探析。方法抽选该院骨科自2017年6月—2018年5月所接诊的66例老年糖尿病患者作为研究对象,所有患者均接受人工髋关节置换术治疗。按入院前后顺序将其分成甲组与乙组;前者予以一般护理措施,在此前提下,对乙组患者再予以围手术期护理措施;比较患者的临床护理效果。结果乙组护理后优良率(93.9%)显著高于甲组(72.7%),差异有统计学意义(χ~2=3.672,P<0.05);乙组患者护理后的空腹血糖、餐后2 h血糖均低于甲组患者,差异有统计学意义(P<0.05)。结论对行人工髋关节置换术治疗的老年糖尿病患者予以围手术期护理,可改善患者的髋关节功能,且能有效控制血糖。

Objective To analyze the perioperative nursing methods of elderly patients with diabetes undergoing artificial hip joint replacement. Methods Sixty-six elderly patients with diabetes who were admitted to our department of orthopedics from June 2017 to May 2018 were selected as subjects. All patients underwent artificial hip arthroplasty. According to the order of admission, they were divided into group A and group B;the former was given general nursing measures. Under this premise, the patients in group B were given perioperative nursing measures;the clinical nursing effect of patients was compared.Results The excellent and good rate of group B(93.9%) was significantly higher than that of group A(72.7%), the difference was statistically significant(χ~2=3.672, P<0.05). The fasting blood glucose and postprandial 2 h blood glucose of group B patients were lower than that after treatment in group A, the difference was statistically significant(P<0.05). Conclusion Perioperative nursing of elderly diabetic patients treated with artificial hip arthroplasty can improve the hip function of patients and effectively control blood glucose.