术后宁加橡胶塞预防恶性腹腔穿刺后液体外渗的护理观察

目的探讨恶性腹腔患者穿刺后预防液体外渗的方法。方法将45例恶性腹腔患者随机分为两组(即常规纱布组与术后宁加橡胶塞组),比较两种方法对恶性腹腔穿刺后液体外渗的预防效果。结果术后宁加橡胶塞组预防液体外渗有效率显著高于常规纱布组(92.6%vs 35.7%,P<0.01)。结论橡胶塞加术后宁法在预防恶性腹腔穿刺后液体外渗效果更好,提高了患者生存质量,减少医护人员工作量。

Abdominal surgery perioperative nursing intervention for diabetes patients

Objective To investigate the effect of nursing intervention on the patients with diabetes at preoperative and postoperative period undergoing abdominal surgery.Methods 50 patients undergoing abdominal surgery with diabetes from December 2009 to December 2010 under control of nursing intervention at our hospital and 50 patients without diabetes undergoing abdominal surgery were included in the study.Results Compared with controls,there were no differences in postoperative complications such as incision infection,pulmonary infection,urinary infection,hospital stay,and mortality（P0.05）.Conclusion Using blood glucose control and nursing intervention to maintain blood glucose in the normal range in patients with diabetes undergoing abdominal surgery at preoperative and postoperative period,the postoperative complications and mortality were the same as the patients without diabetes mellitus undergoing abdominal surgery.The patients with diabetes undergoing abdominal surgery can have a good prognosis as the patients without diabetes.