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时间:2020-04-12
《《肝癌合并糖尿病患者术前禁食、水方案研究》.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、-6·解放军护理杂志2015年2月.32(3)肝癌合并糖尿病患者术前禁食、水方案研究陆丽华,陈萃,纪丹妮,李正俊,年桂红,倪春燕。,王葵,叶志霞。(1.第二军医大学东方肝胆外科医院肝外四科,上海200438;2。第二军医大学东方肝胆外科医院肝外三科;3.第二军医大学东方肝胆外科医院护理部)【摘要】目的探讨适合肝癌合并糖尿病患者的术前禁食、水方案。方法2011年8月至2013年7月,便利抽样法选取在第二军医大学东方肝胆外科医院治疗的肝癌合并糖尿病患者120例为研究对象,按其人院时间的先后将其分为观
2、察组和对照组,每组6O例。观察组患者术前晚嘱其24:O0前根据需要进食适量清淡半流质,术前2~3h口服5葡萄糖液200ml;对照组患者术前晚2o:o0后禁食,24:oo后禁水。比较两组患者术前口渴、饥饿、焦虑感及围术期空腹血糖、血清胰岛素、c肽、胰岛素抵抗指数,术后肝功能指标、并发症发生情况和住院天数等。结果观察组患者术前日渴、饥饿感较对照组有改善,差异均有统计学意义(均P<0.05)。而观察组发生麻醉前血糖低于正常值、手术结束时高血糖者较对照组少,差异均有统计学意义(均P3、者手术结束时血清c肽平均值高于对照组,术后胰岛素抵抗指数低于对照组,差异均有统计学意义(均P<0.05)。结论缩短术前禁食、水时间可改善肝癌合并糖尿病患者术前口渴、饥饿感,对术后胰岛素抵抗有改善作用。【关键词l肝癌;糖尿病;禁食;禁水;低血糖;高血糖;胰岛素抵抗doi:10.3969/j.issn.1008—9993.2015.03.002【中图分类号】R735.7【文献标志码】A【文章编号】1008—9993(2015)03—0006—04PreoperativeFastingforSolid4、sandLiquidsProgramforLiverCancerPatientsCombinedwithDiabetesLuLihua,ChenCui,ji七bnnLiZhengjun1,NianGuihong,NiChunyanz,WangKui,YeZhixia8(1.FourthHepaticSur—geryDepartment,EasternHepatobiliarySurgeryHospitalAffiliatedtoSecondMilitaryMedicalSehool,Shangh5、ai200438,China;2.ThirdHepaticSurgeryDepartment。EasternHepatobiliarySurgeryHospitalMfiliatedtoSecondMilitaryMedicalSchool;3.NursingDepartment,EasternHepatobiliarySurgeryHospitalMfiliatedtoSecondMilitaryMedicalScho1)Correspondingauthor:YeZhixia,E-mail:6、ehbhhlb@163.corn【Al~tract】ObjectiveToexploreasuitablefastingforsolidsandliquidsprogramforlivercancerpatientswhocombinedwithdiabetes.MethodsByconveniencesampling,120patientsoflivercancercombinedwithdiabeteswereselectedande—quallydividedintoobservation7、groupandcontrolgroupaccordingtotheadmissiontime.Theobservationgroupwasgivensemi-fluidatmidnightofthedaybeforeoperation,andalsogiven5GS(200m1)2to3hoursbeforeoperation.Controlgroupwasreceivedfastingsince20:00andforbiddento&inkwatersincemidnightbeforeop8、eration.Comparetwogroupsofpatients’thirst,hunger,anxietyfeelingbeforeoperation,andperioperativefastingplasmaglucose,fastinginsulin,peptideC,insulinresistanceindex,preoperativeliverfunctionindex,incidenceofcomplicationsetc.ResultsI'heobservationgroupp
3、者手术结束时血清c肽平均值高于对照组,术后胰岛素抵抗指数低于对照组,差异均有统计学意义(均P<0.05)。结论缩短术前禁食、水时间可改善肝癌合并糖尿病患者术前口渴、饥饿感,对术后胰岛素抵抗有改善作用。【关键词l肝癌;糖尿病;禁食;禁水;低血糖;高血糖;胰岛素抵抗doi:10.3969/j.issn.1008—9993.2015.03.002【中图分类号】R735.7【文献标志码】A【文章编号】1008—9993(2015)03—0006—04PreoperativeFastingforSolid
4、sandLiquidsProgramforLiverCancerPatientsCombinedwithDiabetesLuLihua,ChenCui,ji七bnnLiZhengjun1,NianGuihong,NiChunyanz,WangKui,YeZhixia8(1.FourthHepaticSur—geryDepartment,EasternHepatobiliarySurgeryHospitalAffiliatedtoSecondMilitaryMedicalSehool,Shangh
5、ai200438,China;2.ThirdHepaticSurgeryDepartment。EasternHepatobiliarySurgeryHospitalMfiliatedtoSecondMilitaryMedicalSchool;3.NursingDepartment,EasternHepatobiliarySurgeryHospitalMfiliatedtoSecondMilitaryMedicalScho1)Correspondingauthor:YeZhixia,E-mail:
6、ehbhhlb@163.corn【Al~tract】ObjectiveToexploreasuitablefastingforsolidsandliquidsprogramforlivercancerpatientswhocombinedwithdiabetes.MethodsByconveniencesampling,120patientsoflivercancercombinedwithdiabeteswereselectedande—quallydividedintoobservation
7、groupandcontrolgroupaccordingtotheadmissiontime.Theobservationgroupwasgivensemi-fluidatmidnightofthedaybeforeoperation,andalsogiven5GS(200m1)2to3hoursbeforeoperation.Controlgroupwasreceivedfastingsince20:00andforbiddento&inkwatersincemidnightbeforeop
8、eration.Comparetwogroupsofpatients’thirst,hunger,anxietyfeelingbeforeoperation,andperioperativefastingplasmaglucose,fastinginsulin,peptideC,insulinresistanceindex,preoperativeliverfunctionindex,incidenceofcomplicationsetc.ResultsI'heobservationgroupp
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