鼻竇炎合并糖尿病內鏡手術患者術后并發(fā)癥的護理觀察

許銀環(huán)　林婷　陳春萍　吳碧云

[摘要] 目的 探析鼻竇炎合并糖尿病內鏡手術患者術后并發(fā)癥的護理方法及護理效果。方法 用數(shù)字隨機表法將2018年1月—2019年7月于該院接受內鏡手術的50例鼻竇炎合并糖尿病患者分為兩組，對照組（n=25）實施常規(guī)護理，觀察組（n=25）實施護理干預，對比護理效果。結果 與對照組相比，觀察組的術后并發(fā)癥發(fā)生率更低;兩組患者護理前的空腹血糖、餐后2 h血糖相比差異無統(tǒng)計學意義（P>0.05），而護理后兩組的血糖值較護理前均降低，且觀察組的空腹血糖、餐后2 h血糖水平更低，差異有統(tǒng)計學意義（P<0.05）;兩組患者的護理后的焦慮、抑郁情緒評分均顯著小于護理前，且觀察組的負面情緒評分明顯小于對照組，差異有統(tǒng)計學意義（P<0.05）。結論 鼻竇炎合并糖尿病內鏡手術患者接受護理干預能夠降低并發(fā)癥的發(fā)生風險，同時也有利于患者血糖的控制與穩(wěn)定，有積極意義，值得推廣應用。

[關鍵詞] 鼻竇炎;糖尿病;內鏡手術;術后并發(fā)癥;護理效果

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（a）-0182-03

Nursing Observation of Postoperative Complications of Patients with Sinusitis Combined with Diabetic Endoscopic Surgery

XU Yin-huan，LIN Ting，CHEN Chun-ping，WU Bi-yun

Department of ENT， Army Hospital of the 73rd Group of the Chinese People's Liberation Army， Xiamen， Fujian Province， 361021 China

[Abstract] Objective To analyze the nursing methods and nursing effects of postoperative complications in patients with sinusitis complicated by diabetic endoscopic surgery. Methods The 50 patients with rhinosinusitis and diabetes who underwent endoscopic surgery in the hospital from January 2018 to July 2019 were divided into two groups by digital random table method， the control group（n=25） implemented nursing intervention; and the observation group（n=25） implemented nursing intervention and compare nursing effects. Results Compared with the control group， the incidence of postoperative complications was lower in the observation group. There was no statistically significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups of patients（P>0.05）. The blood glucose level decreased after nursing， and the fasting blood glucose and 2 h postprandial blood glucose levels in the observation group were lower， and there were statistically significant differences（P<0.05）; the anxiety and depression scores of the two groups of patients after care were significantly smaller than those before the care， and the negative emotion scores of the observation group were significantly smaller than those of the control group. There are statistically significant differences（P<0.05）. Conclusion Nursing intervention for patients with rhinosinusitis and diabetic endoscopic surgery can reduce the risk of complications， and it is also conducive to the control and stability of blood glucose in patients. It has positive significance and is worthy of popularization and application.

[Key words] Sinusitis; Diabetes; Endoscopic surgery; Postoperative complications; Nursing effect

鼻竇炎是臨床上的常見疾病，內鏡手術是治療鼻竇炎的有效方法，能夠改善通氣不暢、疼痛等癥狀。糖尿病的臨床發(fā)病率較高，若患者同時患有鼻竇炎和糖尿病，且需要接受內鏡手術治療，則需要引起高度重視，不僅需要控制患者的血糖值，同時還需要積極預防術后并發(fā)癥的發(fā)生[1]。因此，對于行內鏡手術的鼻竇炎合并糖尿病患者而言，臨床上需要加強對其進行護理干預，通過系統(tǒng)的護理干預最大程度上規(guī)避手術風險，避免術后并發(fā)癥的發(fā)生或降低并發(fā)癥的發(fā)生率，同時做到穩(wěn)定患者的血糖值[2]。護理干預是一種較為全面且綜合性的護理模式，是在常規(guī)護理基礎上的延伸，豐富了以往的護理內容。現(xiàn)選取2018年1月—2019年7月在該院行內鏡手術的50例鼻竇炎合并糖尿病患者，進一步研究評價護理干預的臨床價值。報道……