CAJ | 학술논문

目的探讨老年糖尿病患者胃肠道手术后血糖变化趋势及护理干预方法.方法采用血糖仪测量并记录2008-2010年50例接受胃肠道手术的老年糖尿病患者术后血糖的变化趋势,记录术前,术后返病房即刻,术后1,2,4,8,12,24,48 h等时间点的血糖水平及胰岛素用量,并进行统计分析.结果老年糖尿病患者胃肠道手术后24 h内血糖较术前明显升高,其中术后即刻、术后4 h血糖升高最为明显.术后2 h胰岛素用量最大.结论老年糖尿病患者胃肠道手术后连续血糖监测,通过对胰岛素的合理应用及适当的术后护理措施可以平稳降血糖,减少围手术期并发症发生,使患者早日康复.
목적 탐토노년당뇨병환자위장도수술후혈당변화추세급호리간예방법.방법 채용혈당의측량병기록2008-2010년50례접수위장도수술적노년당뇨병환자술후혈당적변화추세,기록술전,술후반병방즉각,술후1,2,4,8,12,24,48 h등시간점적혈당수평급이도소용량,병진행통계분석.결과 노년당뇨병환자위장도수술후24 h내혈당교술전명현승고,기중술후즉각、술후4 h혈당승고최위명현.술후2 h이도소용량최대.결론 노년당뇨병환자위장도수술후련속혈당감측,통과대이도소적합리응용급괄당적술후호리조시가이평은강혈당,감소위수술기병발증발생,사환자조일강복.
Objective To study the blood glucose change regularity within 48 hours of elderly patients with diabetes after gastrointestinal surgery and summarize effective blood glucose monitoring and nursing intervention. Methods Using blood glucose meters, blood glucose changes and insulin dosage of a total of 48 elderly patients with diabetes after gastrointestinal surgery have been measured and recorded right after operation and 1h, 2h, 4 h,8 h, 12 h,24 h and 48 h time points after operation. All data of patients were statistically analyzed. Results The blood sugar level of elderly patients with diabetes after gastrointestinal surgery within 24 hours after operation was significantly higher than that of before operation ( P > 0. 05). Especially blood sugar level of patients was higher in right after returning to SICU and 2 h after operation, and insulin dosage was the biggest at 4 h after operation. Conclusions Monitoring blood glucose, using of insulin and postoperative nursing during peri-operative period can keep blood glucose stable, prevent postoperative complications and help patients recover earlier.