[摘要] 目的 研究分析骨折合并糖尿病老年手術(shù)患者的血糖控制以及并發(fā)癥觀察效果，對臨床護理進行總結(jié)。 方法 選取2014年7月—2016年4月該院收治的75例骨折合并糖尿病老年患者來分析研究，將患者分組為常規(guī)組合試驗組。常規(guī)組使用常規(guī)護理，試驗組使用常規(guī)護理和強化血糖控制以及并發(fā)癥預(yù)防處理措施。對兩組的護理滿意度、I期愈合率、拆線時間、住院時間、并發(fā)癥情況進行對比分析。 結(jié)果 試驗組患者的護理滿意度是100%，常規(guī)組的護理滿意度是81.08%，兩組結(jié)果差異有統(tǒng)計學(xué)意義（P<0.05）；試驗組拆線時間平均（13.23±2.34）d，住院時間為（8.53±1.44）d；常規(guī)組切口拆線時間為（17.72±4.95）d，住院時間為（10.46±2.25）d，（P>0.05）；試驗組血糖水平比常規(guī)組低（P<0.05）；試驗組并發(fā)癥幾率是5.26%，常規(guī)組是32.43%（P<0.05）。 結(jié)論 骨折合并糖尿病老年手術(shù)患者接受血糖控制和并發(fā)癥預(yù)防護理措施能夠促進患者的愈合，縮短拆線時間和住院時間，降低并發(fā)癥幾率，提升患者護理滿意度，臨床中應(yīng)該進行推廣使用。
　　[關(guān)鍵詞] 骨折合并糖尿��；老年手術(shù)患者；血糖控制；并發(fā)癥；護理體會
　　[中圖分類號] R47 [文獻標識碼] A [文章編號] 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見疾病，因為骨折和糖尿病同時發(fā)生，導(dǎo)致了骨折愈合不佳，所以圍手術(shù)期需要對患者的空腹血糖進行控制，降低手術(shù)的風(fēng)險性，提升手術(shù)效果[1]。此次選取了2014年7月—2016年4月該院收治的75例骨折合并糖尿病老年患者來分析研究，對強化血糖控制和并發(fā)癥觀察預(yù)防的護理方式效果進行研究，現(xiàn)報道如下。

相關(guān)熱詞搜索：并發(fā)癥 血糖 骨折 合并 糖尿病