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目的分析患者糖尿病行椎间盘镜下髓核摘除术(microendoscopic discectomy,MED)的围手术期特点,探讨完善的护理措施。方法对2004年6月2009年2月行MED的271例2型糖尿病患者在围手术期采取心理指导、饮食宣教、血糖监测等护理措施。结果通过施行充分全面的护理措施,患者手术后切口均Ⅰ期愈合,无1例发生切口感染等并发症,均痊愈出院。结论对于伴2型糖尿病患者,在MED围手术期应积极进行心理干预、饮食调节、控制围手术期血糖以及专科护理指导等,对保证手术疗效具有重要意义。
Objective To analyze the perioperative characteristics of microendoscopic discectomy (MED) in patients with diabetes mellitus and explore the perfect nursing measures. Methods A total of 271 patients with type 2 diabetes mellitus who underwent MED in June 2004 were enrolled in this study. They included psychological guidance, diet education and blood glucose monitoring during perioperative period. Results Through the implementation of full and comprehensive nursing measures, the incisions of patients were healed one time after operation, none of the complications such as incision infection occurred. All cases were cured and discharged. Conclusion For patients with type 2 diabetes mellitus, psychological intervention, diet adjustment, perioperative blood glucose control and specialist nursing guidance should be actively carried out during the perioperative period of MED, which is of great significance to ensure the efficacy of surgery.