蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
9期
1278-1280
,共3页
白内障%糖尿病%围手术期%血糖干预%护理
白內障%糖尿病%圍手術期%血糖榦預%護理
백내장%당뇨병%위수술기%혈당간예%호리
cataract%diabetes%perioperatiye period%blood glucose intervention%nursing
目的：：探讨血糖调控护理对糖尿病合并白内障患者围手术期的临床安全性及疗效的影响。方法：将糖尿病合并白内障患者118例(132眼)随机分为常规血糖控制组(对照组)60例(66眼)和强化血糖控制组(观察组)58例(66眼)。所有患者实施超声乳化+人工晶体植入术，术前有效控制血糖。观察2组术后矫正视力、住院时间、并发症的发生、满意度及临床疗效等情况。结果：观察组术后矫正视力显著优于对照组(P<0.01)，住院时间短于对照组(P<0.01)；观察组患者炎症反应发生率低于对照组(P<0.01)；观察组总有效率为98.3%，高于对照组的86.7%(P<0.01)。结论：围手术期血糖调控护理有利于糖尿病合并白内障患者术后视力的提高，减少不良反应的发生率，有效改善患者的生活质量。
目的：：探討血糖調控護理對糖尿病閤併白內障患者圍手術期的臨床安全性及療效的影響。方法：將糖尿病閤併白內障患者118例(132眼)隨機分為常規血糖控製組(對照組)60例(66眼)和彊化血糖控製組(觀察組)58例(66眼)。所有患者實施超聲乳化+人工晶體植入術，術前有效控製血糖。觀察2組術後矯正視力、住院時間、併髮癥的髮生、滿意度及臨床療效等情況。結果：觀察組術後矯正視力顯著優于對照組(P<0.01)，住院時間短于對照組(P<0.01)；觀察組患者炎癥反應髮生率低于對照組(P<0.01)；觀察組總有效率為98.3%，高于對照組的86.7%(P<0.01)。結論：圍手術期血糖調控護理有利于糖尿病閤併白內障患者術後視力的提高，減少不良反應的髮生率，有效改善患者的生活質量。
목적：：탐토혈당조공호리대당뇨병합병백내장환자위수술기적림상안전성급료효적영향。방법：장당뇨병합병백내장환자118례(132안)수궤분위상규혈당공제조(대조조)60례(66안)화강화혈당공제조(관찰조)58례(66안)。소유환자실시초성유화+인공정체식입술，술전유효공제혈당。관찰2조술후교정시력、주원시간、병발증적발생、만의도급림상료효등정황。결과：관찰조술후교정시력현저우우대조조(P<0.01)，주원시간단우대조조(P<0.01)；관찰조환자염증반응발생솔저우대조조(P<0.01)；관찰조총유효솔위98.3%，고우대조조적86.7%(P<0.01)。결론：위수술기혈당조공호리유리우당뇨병합병백내장환자술후시력적제고，감소불량반응적발생솔，유효개선환자적생활질량。
Objective:To explore the clinical safety and effects of blood glucose intervention nursing in perioperative patients with diabetes complicated with cataract. Methods:One hundred and eighteen patients(132 eyes) with diabetes complicated with cataract were divided randomly into the conventional glucose control group(control group,66 years in 60 cases) and intensive blood sugar treatment group( treatment group,66 years in 58 cases ) . The levels of blood sugar in all patients were effectively controlled before operation,then the patients were treated with phacoemulsification combined with intraocular lens implantation. The postoperative corrected visual acuity, hospital stay, complication, satisfaction and clinical efficacy between two groups were observed. Results:The postoperative corrected visual acuity and hospital stay in observation group were better and shorter those in control group,respectively (P<0. 01). The total incidence of the bleeding,infection,oedema,adhesion and inflammatory response in observation group was lower than that in control group(P<0. 01). The total effective rate and satisfaction in observation group(98. 3% and 98. 3%) were higher than those in control group(86. 7% and 88. 7%),respectively(P<0. 05). Conclusions:The blood glucose intervention nursing in perioperative patients with diabetes complicated with cataract is conducive to increasing vision, decreasing the incidence of adverse reaction and effectively improving the life quality of patients.
