摘要目的 了解糖尿病患者围术期血糖监测现状,为优化糖尿病患者围术期血糖管理工作提供依据.方法 回顾性分析2015年6-12月在南京医科大学第一附属医院住院择期手术的106例糖尿病患者病例资料,分析其相关血糖监测数据.结果 本组患者术前糖化血红蛋白监测率33.3%,术前1 d血糖监测率59.4%.术后1 d人均血糖监测次数与7段血糖监测率大于手术当日,差异有统计学意义(P<0.01).术前1 d血糖最高值、最低值均高于手术当日,术后1 d血糖最低值高于手术当日,差异有统计学意义(P<0.05).结论 患者术前糖化血红蛋白监测率低,围术期血糖监测频次低,术后1 d血糖控制不理想,需引起临床护理人员重视.

abstractsObjective To explore the status of blood glucose monitoring in patients with diabetes during the perioperative period, and to offer reference for optimizing blood glucose monitoring for patients with diabetes during the perioperative period. Methods The cases of totally 106 patients with diabetes who received selective operation in the First Affiliated Hospital of Nanjing Medical University between June and December 2015 and the relevant data of blood glucose monitoring were retrospectively analyzed. Results The rate of preoperative glycated hemoglobin monitoring in these patients was 33.3%, and the rate of blood glucose monitoring 1 day before operation was 59.4%. The frequency of per capita blood glucose monitoring and the seven-step blood glucose monitoring rate 1 day after operation were greater than those of the operation day (P< 0.01). Both the maximum and minimum values of blood glucose were higher than those of the operation day, the maximum value of blood glucose 1 day after operation was higher than that of the operation day (P<0.05). Conclusions The rate of preoperative glycated hemoglobin monitoring in these patients is low; the frequency of blood glucose monitoring during the perioperative period is low; and the blood glucose control 1 day after operation is not satisfied. Therefore, clinical nursing staff shall pay attention to these problems.