Nursing difficulties and management strategies for patients with hepatobiliary and pancreatic diseases complicated with diabetes during the perioperative period
肝胆胰疾病合并糖尿病患者围手术期的护理难点与管理策略

摘要

肝胆胰系统作为人体重要的代谢调节中枢，其疾病本身已严重影响机体代谢平衡，而糖尿病作为常见的代谢性疾病，会进一步加剧肝胆胰疾病的病理进程，增加围手术期并发症风险。本文基于国内外最新研究进展，系统分析肝胆胰疾病合并糖尿病患者围手术期在血糖调控、并发症预防、营养支持及心理干预等方面的护理难点，从术前评估与准备、术中护理配合、术后精细化管理三个维度提出针对性护理策略，旨在为临床护理实践提供参考，改善患者预后。

Abstract

As an important metabolic regulatory center in the human body, the liver, gallbladder and pancreas system itself has seriously affected the metabolic balance of the body. Diabetes, as a common metabolic disease, will further accelerate the pathological process of liver, gallbladder and pancreas diseases and increase the risk of perioperative complications. Based on the latest research progress at home and abroad, this article systematically analyzes the nursing difficulties of patients with liver, gallbladder and pancreatic diseases complicated with diabetes during the perioperative period in terms of blood glucose regulation, complication prevention, nutritional support and psychological intervention. It proposes targeted nursing strategies from three dimensions: preoperative assessment and preparation, intraoperative nursing cooperation, and postoperative refined management, aiming to provide references for clinical nursing practice. Improve the prognosis of patients.