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目的观察胰岛素泵在糖尿病患者围手术期血糖调整中的应用效果,总结泵使用过程中的护理经验。方法将32例需行各种外科手术的糖尿病患者均予以佩带胰岛素泵强化胰岛素治疗,同时,结合患者特点予以心理和置泵护理。结果血糖控制天数1～4d、住院总天数8～24d、无低血糖和手术切口感染病例发生。结论糖尿病患者外科围手术期应用胰岛素泵治疗能迅速、平稳地控制血糖,促进手术伤口愈合,降低感染发生率,是一种安全、有效的治疗方法 。
Objective To observe the effect of insulin pump in the perioperative blood glucose adjustment of diabetic patients and summarize the experience of nursing in the process of using pump. Methods Thirty-two diabetic patients undergoing various surgical operations were enrolled in the intensive insulin therapy with insulin pump. At the same time, psychological and pump-assisted nursing were combined with the characteristics of the patients. Results The days of blood glucose control were 1 ~ 4 days and the total days of hospitalization were 8 ~ 24 days. No hypoglycemia and surgical incision infection occurred. Conclusion The perioperative application of insulin pump in patients with diabetes mellitus can control blood sugar quickly and smoothly, promote wound healing and reduce the incidence of infection. It is a safe and effective treatment.