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直肠癌是消化系统常见的恶性肿瘤,约有17%的直肠癌病人患有糖尿病,且接受外科手术,病死率和并发症的发生率均较高于非糖尿病患者。直肠癌合并糖尿病的患者经过手术治疗后,手术创伤等刺激反应可使血糖升高,严重者可导致糖代谢紊乱,影响伤口愈合,这些都将诱发并发症的发生。此外直肠癌合并糖尿病的患者因为术前、术后禁食、麻醉等因素。血糖波较大,极易诱发应激性血糖升高,对患者身体健康、生活安全造成严重危害。此外,糖尿病易致术后肺部感染、伤口难以愈合及心肌梗死的发生,加之患者自身抵抗力差,术后恢复慢,手术效果欠佳及预后不良。因此对直肠癌伴发糖尿病患者,护理难度和风险较高,现将对直肠癌合并糖尿病患者的手术期的护理研究进展,报道如下。
Rectal cancer is a common malignant tumor of the digestive system. About 17% of patients with rectal cancer have diabetes mellitus, and the incidence of surgery, mortality and complications are higher than those of non-diabetic patients. Patients with rectal cancer complicated with diabetes after surgery, surgical trauma and other stimuli can lead to elevated blood sugar, severe cases can lead to glucose metabolism, affecting wound healing, which will trigger the occurrence of complications. In addition, patients with rectal cancer with diabetes because of preoperative and postoperative fasting, anesthesia and other factors. Large blood sugar, can easily lead to stress-induced hyperglycemia, the patient’s health, life safety serious harm. In addition, diabetic prone to postoperative pulmonary infection, wound healing and myocardial infarction difficult, combined with poor patient self-resistance, postoperative recovery is slow, poor surgical outcomes and poor prognosis. Therefore, patients with rectal cancer associated with diabetes, the difficulty and risk of higher care, now on the rectal cancer patients with diabetes during the operation of nursing progress, reported as follows.