快速康复外科护理对胃旁路手术治疗糖尿病患者的血糖控制及预后效果分析

快速康复外科护理对胃旁路手术治疗糖尿病患者的血糖控制及预后效果分析

概述

胃旁路手术可以有效改善糖尿病患者的血糖控制和生活质量，在世界范围内受到广泛关注和应用。然而，手术后外科护理对于患者的康复和预后也至关重要。本文通过对快速康复外科护理对胃旁路手术治疗糖尿病患者的血糖控制及预后效果进行分析，旨在为临床提供参考和指导。

方法

采集2016年1月至2019年1月在某三甲医院行胃旁路手术治疗糖尿病的患者100例资料。其中50例采用传统护理方案，50例采用快速康复外科护理方案。两组患者的年龄、BMI和糖化血红蛋白水平无显著性差异。使用SPSS21.0进行数据分析。

结果

快速康复外科护理组患者的手术后住院天数、术后排气时间、术后进食时间和术后第一次排便时间均显著优于传统护理组患者。术后第3天、第7天和第30天两组患者的空腹血糖（FBG）、餐后2小时血糖（2hPG）、糖化血红蛋白（HbA1c）差异有统计学意义（P<0.05）。快速康复外科护理组的各项指标均优于传统护理组。

结论

快速康复外科护理能够显著促进胃旁路手术治疗糖尿病患者的康复，有效控制血糖水平，缩短住院时间。因此，在胃旁路手术治疗糖尿病患者中，推广应用快速康复外科护理方案具有很好的临床应用前景和推广价值。

关键词：快速康复；外科护理；胃旁路手术；糖尿病；血糖控制；预后

Abstract

Gastricbypasssurgerycaneffectivelyimprovebloodglucosecontrolandqualityoflifeinpatientswithdiabetes,andhasattractedwidespreadattentionandapplicationworldwide.However,surgicalnursingaftersurgeryisalsocrucialforpatients'rehabilitationandprognosis.Thispaperaimstoanalyzetheeffectoffast-tracksurgicalnursingonbloodglucosecontrolandprognosisofgastricbypasssurgeryforthetreatmentofdiabetespatients,toprovidereferenceandguidanceforclinicalpractice.

Methods

Thedataof100patientswhounderwentgastricbypasssurgeryforthetreatmentofdiabetesinatertiaryhospitalfromJanuary2016toJanuary2019werecollected.Amongthem,50casesweretreatedwithtraditionalnursingprogram,and50casesweretreatedwithfast-tracksurgicalnursingprogram.Therewasnosignificantdifferenceinage,BMIandglycosylatedhemoglobinlevelbetweenthetwogroups.SPSS21.0wasusedfordataanalysis.

Results

Thelengthofhospitalstay,postoperativeexhausttime,postoperativeeatingtimeandpostoperativefirstdefecationtimeofpatientswithfast-tracksurgicalnursingweresignificantlybetterthanthoseoftraditionalnursinggroup.FBG,2hPGandHbA1cofthetwogroupsonthethirdday,seventhdayand30thdayafteroperationshowedsignificantdifferences(P<0.05).Thevariousindicatorsoffast-tracksurgicalnursingapproachwerebetterthanthoseoftraditionalnursingapproach.

Conclusion

Fast-tracksurgicalnursingcansignificantlypromotetherehabilitationofpatientsundergoinggastricbypasssurgeryforthetreatmentofdiabetes,effectivelycontrolbloodglucoselevels,andshortenhospitalstay.Therefore,theapplicationoffast-tracksurgicalnursingprograminthetreatmentofdiabetespatientswithgastricbypasssurgeryhasgoodclinicalapplicationprospectsa