临床路径在糖尿病患者术前麻醉准备中的应用效果研究

发布时间：2018-01-08 04:07

本文关键词：临床路径在糖尿病患者术前麻醉准备中的应用效果研究　出处：《中国卫生质量管理》2016年05期 　论文类型：期刊论文

【摘要】：目的研究临床路径在糖尿病手术患者术前麻醉准备中的应用效果。方法选取2014年6月-2015年6月间入院诊治的糖尿病患者76例,随机将患者分为治疗组(38例)与对照组(38例)。两组患者均应用硬膜外麻醉。对照组行常规术前麻醉准备;治疗组则按临床路径进行麻醉前准备。观察并记录两组患者术前1d(T1,等待手术时)及入手术室时(T2,麻醉医生准备实施麻醉前10min)血糖、尿酮以及患者的应激状态(血压、心率及SAS焦虑评分)的变化。结果两组患者T1与T2的尿酮均无显著差异;两组患者T1血糖并无显著差异,治疗组T2血糖较对照组较好地维持了血糖稳定(P0.05)。两组患者在T1时段心率、收缩压与SAS评分无显著差异;治疗组T2时段心率、收缩压与SAS评分与T1相比无显著差异,而对照组差异显著(P0.05)。结论临床路径在糖尿病手术患者术前麻醉中具有较好的应用效果,对血糖的影响较小,同时可有效缓解患者术前的焦虑,改善血压与心率应激状态。
[Abstract]:Objective to study the clinical pathway anesthesia in patients with diabetes in 76 patients with diabetes before surgery. Methods from June 2014 June -2015 hospitalized patients were randomly divided into treatment group (38 cases) and control group (38 cases). All cases of two groups were control group for anesthesia anesthesia. Routine preoperative; treatment group according to the clinical pathway of preanesthesia. Observe and record the two groups of patients before 1D (T1, awaiting surgery) and into the operation room (T2, the anesthesiologist is ready to implement 10min before anesthesia) blood sugar, urine ketone and patient stress (blood pressure, heart rate and SAS score of anxiety) changes. Results there were no significant differences between the two groups of urine ketone in patients with T1 and T2; significant difference between the two groups had no treatment group T1 blood glucose, T2 blood glucose compared with the control group, better maintain the stability of blood glucose (P0.05). The two groups of patients in the period of the T1 heart rate, systolic blood pressure and SAS score There was no significant difference between the treatment group; T2 time heart rate, no significant differences in systolic blood pressure and SAS score and T1, while the control group had significant difference (P0.05). Conclusion the clinical pathway in the application has a good effect in patients with diabetes before surgery anesthesia, little effect on blood sugar, also can relieve the preoperative anxiety effectively. Improve blood pressure and heart rate of stress.

【作者单位】：儋州市第一人民医院;
【分类号】：R197.323;R587.1
【正文快照】： 临床路径是指针对某一疾病建立一套标准化的治疗模式,最终可以达到规范医疗行为、减少变异、降低成本、提高治疗质量的目的[1]。据研究推算,我国约有9 000多万成年糖尿病患者,约1.5亿成年人处于糖尿病前期[2],其已经成为严重威胁我国人民健康的疾病。长期的高血糖状态,易引

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