齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2014年
24期
3724-3726
,共3页
急性化脓性胆管炎%糖尿病%围术期%护理干预
急性化膿性膽管炎%糖尿病%圍術期%護理榦預
급성화농성담관염%당뇨병%위술기%호리간예
Acute suppurative cholangitis%Diabetes%Perioperative period%Nursing intervention
目的探讨急性化脓性胆管炎（AOSC）合并2型糖尿病（T2DM）患者在围手术期的护理干预措施。方法将78例急性化脓性胆管炎合并糖尿病患者，均采用血糖控制、补液、控制并发症等对症治疗。按照数字表法随机分为两组，对照组39例采用常规护理方法，观察组39例对患者则在不同阶段的病情特点和体征进行针对性围手术期的优质护理干预措施。结果观察组患者住院时间为（21．6±6．3） d、并发症发生率为2例占5．13％（2／39）；对照组分别为（32．9±5．4）d、7例占17．95％（7／39），两组相比较差异有显著性（P均＜0．05）。观察组的总有效率为92．31％明显高于对照组的79．49％（P＜0．05），观察组的护理满意度为97．44％显著地高于对照组的84．62％（P＜0．05）。结论加强AOSC合并T2DM患者临床观察及围手术期护理干预措施，可有利于患者的治疗和早日迅速康复，并提高护理满意度。
目的探討急性化膿性膽管炎（AOSC）閤併2型糖尿病（T2DM）患者在圍手術期的護理榦預措施。方法將78例急性化膿性膽管炎閤併糖尿病患者，均採用血糖控製、補液、控製併髮癥等對癥治療。按照數字錶法隨機分為兩組，對照組39例採用常規護理方法，觀察組39例對患者則在不同階段的病情特點和體徵進行針對性圍手術期的優質護理榦預措施。結果觀察組患者住院時間為（21．6±6．3） d、併髮癥髮生率為2例佔5．13％（2／39）；對照組分彆為（32．9±5．4）d、7例佔17．95％（7／39），兩組相比較差異有顯著性（P均＜0．05）。觀察組的總有效率為92．31％明顯高于對照組的79．49％（P＜0．05），觀察組的護理滿意度為97．44％顯著地高于對照組的84．62％（P＜0．05）。結論加彊AOSC閤併T2DM患者臨床觀察及圍手術期護理榦預措施，可有利于患者的治療和早日迅速康複，併提高護理滿意度。
목적탐토급성화농성담관염（AOSC）합병2형당뇨병（T2DM）환자재위수술기적호리간예조시。방법장78례급성화농성담관염합병당뇨병환자，균채용혈당공제、보액、공제병발증등대증치료。안조수자표법수궤분위량조，대조조39례채용상규호리방법，관찰조39례대환자칙재불동계단적병정특점화체정진행침대성위수술기적우질호리간예조시。결과관찰조환자주원시간위（21．6±6．3） d、병발증발생솔위2례점5．13％（2／39）；대조조분별위（32．9±5．4）d、7례점17．95％（7／39），량조상비교차이유현저성（P균＜0．05）。관찰조적총유효솔위92．31％명현고우대조조적79．49％（P＜0．05），관찰조적호리만의도위97．44％현저지고우대조조적84．62％（P＜0．05）。결론가강AOSC합병T2DM환자림상관찰급위수술기호리간예조시，가유리우환자적치료화조일신속강복，병제고호리만의도。
Objective To investigate the acute suppurative cholangitis ( AOSC) complicated with type 2 diabetes mellitus (T2DM) patients in peri operation period nursing intervention measures .Methods 78 cases of acute suppurative cholangitis in patients with diabetes , glycemic control , use, control of complications such as symptomatic treatment fluid .According to the method and randomly divided into two groups , 39 cases in the control group using conventional methods of care , the observation group of 39 cases of patients in different stages of the disease characteristics and signs for high quality nursing intervention during peri -operation period . Results The observation group patients hospitalization time was (21.6 ±6.3)d, the incidence of complications was 2 cases accounted for 5.13%(2/39); the control group were (32.9 ±5.4) d, 7 cases accounted for 17. 95%(7/39), there was significant difference compared with that of the two group (P <0.05).The total effective rate of observation group was 92.31% was higher than that in control group 79.49% (P <0.05), nursing satisfaction of the observation group was significantly higher than that of the control group of 84.62% to 97.44%(P<0.05).Conclusions AOSC and peri-operation period nursing interventions to observe the clinical patients complicated with T2DM, can promote treatment and early rehabilitation quickly , and improve nursing satisfaction.
