简介：　　 [摘要 ] 目的 观察分析循证护理在老年糖尿病患者疝气手术后护理中的应用效果。方法 选取该院在 2017年 1月— 2018年 2月收治的 72例糖尿病接受疝气手术的老年患者，按照不同护理干预方法分为实验组（ 36例，应用循证护理干预方法）和对照组（ 36例，应用常规护理干预方法）。采用统计学分析两组接受疝气手术的老年患者护理总满意率、平均住院时间、术后并发症发生率（肺部感染、压疮、切口渗血、恶心呕吐、阴囊血肿）及护理前后血糖情况。结果 实验组接受疝气手术的老年患者的护理总满意率显著高于对照组（ P<0.05），实验组接受疝气手术的老年患者的平均住院时间显著短于对照组（ P<0.05），实验组接受疝气手术的老年患者的肺部感染、压疮、切口渗血、恶心呕吐、阴囊血肿等并发症发生率显著低于对照组，治疗后实验组空腹血糖、餐后 2 h血糖情况明显低于对照组，两组对比差异有统计学意义（ P<0.05）。结论 循证护理在糖尿病老年患者疝气手术后护理中的应用效果显著。  　　 [关键词 ] 循证护理 ;老年疝气手术 ;护理 ;应用效果  　 [Abstract] Objective To observe and analyze the effect of evidence-based nursing in the elderly diabetic patients with hernia after surgery. Methods 72 elderly patients with diabetes who underwent hernia surgery in our hospital from January 2017 to February 2018 were divided into experimental group (36 cases) and control group (36 cases) according to different nursing intervention methods. The total satisfaction rate, average hospitalization time, postoperative complications (pulmonary infection, pressure sore, incision bleeding, nausea and vomiting, scrotal hematoma) and blood glucose before and after nursing were analyzed statistically. Results the total satisfaction rate of the elderly patients in the experimental group was significantly higher than that in the control group (P < 0.05), and the average hospitalization time of the elderly patients in the experimental group was significantly shorter than that in the control group (P < 0.05) In the control group, the fasting blood glucose and 2 hours postprandial blood glucose in the experimental group were significantly lower than those in the control group (P < 0.05). Conclusion the application of evidence-based nursing in the postoperative nursing of diabetic patients with hernia is significant.