探讨骨折合并糖尿病老年手术患者血糖控制和并发症的观察及护理体会
[摘要] 目的 研究分析骨折合并糖尿病老年手术患者的血糖控制以及并发症观察效果，对临床护理进行总结。 方法 选取2014年7月—2016年4月该院收治的75例骨折合并糖尿病老年患者来分析研究，将患者分组为常规组合试验组。常规组使用常规护理，试验组使用常规护理和强化血糖控制以及并发症预防处理措施。对两组的护理满意度、I期愈合率、拆线时间、住院时间、并发症情况进行对比分析。 结果 试验组患者的护理满意度是100%，常规组的护理满意度是81.08%，两组结果差异有统计学意义（P<0.05）；试验组拆线时间平均（13.23±2.34）d，住院时间为（8.53±1.44）d；常规组切口拆线时间为（17.72±4.95）d，住院时间为（10.46±2.25）d，（P>0.05）；试验组血糖水平比常规组低（P<0.05）；试验组并发症几率是5.26%，常规组是32.43%（P<0.05）。 结论 骨折合并糖尿病老年手术患者接受血糖控制和并发症预防护理措施能够促进患者的愈合，缩短拆线时间和住院时间，降低并发症几率，提升患者护理满意度，临床中应该进行推广使用。
[关键词] 骨折合并糖尿病；老年手术患者；血糖控制；并发症；护理体会
[中图分类号] R47 [文献標识码] A [文章编号] 1672-4062（2017）11（b）-0108-02
[Abstract] Objective To research and analyze the blood glucose control and observation on complications and nursing experience of senile operative patients with fracture and diabetes. Methods 75 cases of senile patients with fracture and diabetes in our hospital from July 2014 to April 2016 were selected for analysis and research and divided into two groups， the routine group used the routine nursing， while the test group used the routine nursing and enhanced the blood glucose control in order to prevent complications， and the nursing satisfactory degree， healing rate in I stage， clearing time， length of stay and complications were compared between the two groups. Results The nursing satisfactory degree in the test group and in the routine group was respectively 100% and 81.08%， and the difference was statistically significant（P<0.05）， and the average clearing time and length of stay in the test group and in the routine group were respectively （13.23±2.34）d， （8.53±1.44）d and （17.72±4.95）d， （10.46±2.25）d（P>0.05）， and the blood glucose level in the test group was lower than that in the routine group（P<0.05）， and the occurrence probability of complications in the test group and in the routine group was respectively 5.26% and 32.43%（P<0.05）. Conclusion The blood glucose control and preventive nursing measures of complications of senile operative patients with fracture and diabetes can promote the healing of patients， shorten the clearing time and length of stay， reduce the occurrence probability of complications， and improve the nursing satisfactory degree， which can be promoted and applied in clinic.
[Key words]Fracture and diabetes； Senile operative patients； Blood glucose control； Complication； Nursing experience
骨折合并糖尿病是老年多见疾病，因为骨折和糖尿病同时发生，导致了骨折愈合不佳，所以围手术期需要对患者的空腹血糖进行控制，降低手术的风险性，提升手术效果[1]。此次选取了2014年7月—2016年4月该院收治的75例骨折合并糖尿病老年患者来分析研究，对强化血糖控制和并发症观察预防的护理方式效果进行研究，现报道如下。