非体外循环下冠状动脉旁路移植术后合并糖尿病病人的护理

Nursing of patients after off-pump coronary artery bypass grafting with diabates mellitus

目的 :探讨和总结非体外循环冠状动脉旁路移植术后合并糖尿病病人的护理。方法 :对 30例非体外循环下行冠状动脉旁路移植术的患者 ,术后采取持续心电、血流动力学监测、呼吸道管理、血糖监测、饮食控制、预防感染、心理护理和健康教育等护理措施。结果 :本组患者中出现低血糖 1例 ,快速心房纤颤 2例 ,胸正中切口愈合不良 1例 ,大隐静脉切口愈合不良 ,经积极处理均痊愈出院。结论 :上述护理措施对减少术后并发症 ,确保患者康复发挥了重要作用。

Objective To investigate and summarize the nursing of patients undergoing off-pump coronary artery bypass grafting with diabetes mellitus.Method 30 patients undergoing off-pump coronary artery bypass grafting were taken persistent electrocardiogram,hemodynamic care,respiratory tract management,blood sugar monitoring,diet control,preventing infection,psychologic tend,health education and so on.Results One of patients had hypoglycemia,two had got fast atrial fibrillation,two healed the incisions of median sternotomy or saphenous vein delayed,the others discharged healthily by proper therapy.Conclusion Nursing care above had shown great importance in decreasing postoperative complications and recovery of patients.