子宮肌瘤合并糖尿病的圍手術(shù)期的護(hù)理分析

劉錦玉 林玲李

[摘要] 目的 對圍手術(shù)期護(hù)理在子宮肌瘤合并糖尿病中的應(yīng)用效果進(jìn)行分析。方法 將2018年1月—2019年1月期間該院收治的62例子宮肌瘤合并糖尿病患者作為該次研究對象，患者入組后根據(jù)入院先后順序?qū)⑵浞譃閷φ战M與實(shí)驗(yàn)組，對照組采用常規(guī)護(hù)理，實(shí)驗(yàn)組采用圍手術(shù)期護(hù)理，對比護(hù)理效果。結(jié)果 ①實(shí)驗(yàn)組患者空腹血糖（6.0±0.8）mmol/L、餐后2 h血糖（7.0±1.0）mmol/L、下床活動時間（28.1±3.1）h與住院時間（9.4±1.8）d均低于對照組患者空腹血糖（7.4±1.2）mmol/L、餐后2 h血糖（9.1±1.6）mmol/L、下床活動時間（39.2±3.9）h與住院時間（12.2±2.2）d，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。②實(shí)驗(yàn)組患者護(hù)理總滿意度為100.0%高于對照組的80.6%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 圍手術(shù)期護(hù)理在子宮肌瘤合并糖尿病患者護(hù)理中有著重要的意義，在提高患者護(hù)理滿意度的同時，也縮短了住院時間，提早了下床活動時間，同時可將血糖水平控制并維持在接近正常范圍。

[關(guān)鍵詞] 圍手術(shù)期護(hù)理;子宮肌瘤;糖尿病

[中圖分類號] R47 ? ? ? ? ?[文獻(xiàn)標(biāo)識碼] A ? ? ? ? ?[文章編號] 1672-4062（2020）06（a）-0110-03

[Abstract] Objective To analyze the effect of perioperative nursing on uterine fibroids combined with diabetes. Methods 62 cases of uterine fibroids with diabetes admitted in the hospital from January 2018 to January 2019 were taken as the research object. After the patients were enrolled， they were divided into a control group and an experimental group according to the order of admission. The control group received routine nursing and the experimental group received perioperative nursing to compare the effects of nursing. Results 1.Fast blood glucose （6.0±0.8）mmol/L， 2 h postprandial blood glucose （7.0±1.0）mmol/L， time to get out of bed （28.1±3.1）h and hospital stay （9.4±1.8）d The fasting blood glucose （7.4±1.2）mmol/L， blood glucose （9.1±1.6）mmol/L 2 h after a meal， time to get out of bed（39.2±3.9）h and hospitalization time（12.2±2.2）d， there were statistically significant differences（P<0.05）. 2.The total satisfaction of patients in the experimental group was 100.0% higher than that in the control group， 80.6%， there was statistically significant difference（P<0.05）. Conclusion Perioperative care is of great significance in the care of patients with uterine fibroids and diabetes. While improving patient satisfaction， it also shortens the length of hospital stay， early time for getting out of bed， and can control and maintain blood glucose levels in the near normal range.

[Key words] Perioperative care; Uterine fibroids; Diabetes

子宮肌瘤是一種良性腫瘤疾病，在發(fā)病早期對生命安全不會有太大的影響，但是會產(chǎn)生腰酸、月經(jīng)異常等癥狀，對患者的生活造成了不同程度的影響[1]。糖尿病是以血糖提升為表現(xiàn)的終身性慢性疾病，目前并沒有徹底治愈的方法，且極易引發(fā)各種并發(fā)癥[2]。子宮肌瘤合并糖尿病不僅加重了病情，更增加了患者的痛苦，在進(jìn)行手術(shù)治療的過程中因受到麻醉與應(yīng)激反應(yīng)的影響，會引發(fā)比較嚴(yán)重的并發(fā)癥[3]。在整個手術(shù)治療過程中對患者進(jìn)行有針對性的護(hù)理顯的更為重要，根據(jù)患者的實(shí)際情況調(diào)整護(hù)理方案，提高護(hù)理質(zhì)量，有利于改善患者的情緒，控制患者的血糖，更有助于患者的恢復(fù)。此次研究以該院于2018年1月—2019年1月收治的62例患者為例，旨在分析圍手術(shù)期護(hù)理在子宮肌瘤合并糖尿病中的應(yīng)用效果，報(bào)道如下。

1 ?資料與方法

1.1 ?一般資料