手術(shù)室護(hù)理干預(yù)在結(jié)石性膽囊炎合并糖尿病患者中的應(yīng)用效果研究

王圣進(jìn) 董云麗

[摘要] 目的 對手術(shù)室護(hù)理干預(yù)在結(jié)石性膽囊炎合并糖尿病患者中的應(yīng)用效果進(jìn)行分析。方法 在該次研究中，將130例結(jié)石性膽囊炎合并糖尿病患者設(shè)為研究對象，其入院時間均為2018年10月—2019年10月，以患者入院先后順序作為依據(jù)，將其分為實(shí)驗(yàn)組和對照組兩個組別，分別為65例患者。針對兩組患者應(yīng)用相同的治療措施和不同的護(hù)理措施，對兩組患者的護(hù)理應(yīng)用效果進(jìn)行對比分析。結(jié)果 實(shí)驗(yàn)組患者和對照組患者的空腹血糖分別為（6.33±1.51）mmol/L和（7.34±1.89）mmol/L，餐后2 h血糖分別為（8.10±1.76）mmol/L和（9.13±2.31）mmol/L，相對于對照組患者，實(shí)驗(yàn)組患者在生理機(jī)能、生理職能、社會功能、情感職能等各個方面評分均顯著高于對照組患者（P<0.05）。結(jié)論 對結(jié)石性膽囊炎合并糖尿病患者在治療過程中應(yīng)用手術(shù)室護(hù)理干預(yù)，有利于改善患者的血糖水平和提升患者的生活質(zhì)量，可見該護(hù)理措施具有較高的臨床應(yīng)用價值。

[關(guān)鍵詞] 手術(shù)室護(hù)理干預(yù);結(jié)石性膽囊炎;糖尿病;應(yīng)用效果

[中圖分類號] R473.6? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）10（a）-0142-03

[Abstract] Objective To analyze the effect of operating room nursing intervention in patients with calculous cholecystitis and diabetes. Methods In this study， 130 patients with calculous cholecystitis and diabetes mellitus were selected as the research object， and their admission time was from October 2018 to October 2019. Based on the order of admission， they were divided into experiment group and the control group， 65 patients in each group. According to the same treatment measures and different nursing measures applied to the two groups of patients， the effect of nursing application of the two groups of patients was compared and analyzed. Results The fasting blood glucose of the experimental group and the control group were （6.33±1.51）mmol/L and （7.34±1.89）mmol/L， respectively， and the blood glucose 2 h after a meal were （8.10±1.76）mmol/L and （9.13±2.31）mmol/L， compared with the control group， the experimental group had significantly higher scores in physiological function， physiological function， social function， emotional function and other aspects than the control group（P<0.05）. Conclusion For calculous cholecystitis application of nursing intervention in the operating room for patients with diabetes in the treatment process is beneficial to improve the patient's blood glucose level and improve the patient's quality of life. It can be seen that this nursing measure has high clinical application value.

[Key words] Nursing intervention in operating room; Calculous cholecystitis; Diabetes; Application effect

結(jié)石性膽囊炎合并糖尿病具有起病急的特點(diǎn)，患者發(fā)病之后，極易出現(xiàn)膽囊壞疽穿孔的情況，需要進(jìn)行急診手術(shù)治療。根據(jù)目前的情況來看，臨床上主要采用腹腔鏡手術(shù)對該疾病患者進(jìn)行治療，相對于傳統(tǒng)的手術(shù)治療方式，腹腔鏡手術(shù)具有手術(shù)創(chuàng)傷小以及術(shù)后恢復(fù)快等優(yōu)勢，但是治療方式自身具有一定的應(yīng)激性，能夠?qū)颊叩男睦頎顟B(tài)產(chǎn)生影響。所以在對結(jié)石性膽囊炎合并糖尿病患者進(jìn)行臨床治療的過程中，除了需要對治療方式進(jìn)行相應(yīng)的強(qiáng)化和改善，還應(yīng)輔以良好的圍手術(shù)期護(hù)理工作，以促使患者的治療效果得到提升[1]。該次研究中以2018年10月—2019年10月130例結(jié)石性膽囊炎合并糖尿病患者為研究對象，實(shí)施相同的治療措施和不同的圍手術(shù)期護(hù)理措施，針對兩組患者的臨床護(hù)理情況展開對比分析工作。……