血糖调控护理对糖尿病合并白内障患者围手术期安全性探讨

    Safety of blood sugar intervention nursing in perioperative patients with diabetes complicated with cataract

    • 摘要: 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。

       

      Abstract: 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.

       

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