Objective To construct new acute suppurative cholangitis in patients with diabetes mel itus perioperative nursing process,enrich the content of the liver and gal bladder surgery nursing, improve the nursing process. Methods:January 2012-January 2013 in our hospital in liver and gal bladder surgery for acute suppurative cholangitis requires data review procedure of 60 patients with diabetes,patients were randomly divided into group,30 cases in the control group 30 cases,the team with a new mode of nursing process,the control group given surgical routine care,wound healing and hospitalization days were observed. Results:the new nursing process group of patients in the general case, wound healing,are bet er than the routine nursing group, hospitalization days of the new nursing process group is (7.2+1.5)days,routine nursing group was (10.5+2.0)days. Conclusion:the new perioperative nursing process for acute suppurative cholangitis combined with diabetes with stable vital signs, the wound healed wel , the advantages of shorter hospitalization time,can be used in liver and gal bladder surgery to expand.%目的：构造新的急性化脓性胆管炎合并糖尿病患者的围手术期护理程序，充实肝胆外科护理内容，完善护理工作流程。方法选择2012年1月~2013年1月在我院肝胆外科因急性化脓性胆管炎需手术的糖尿病患者60例进行资料回顾，将患者随机分为研究组30例，对照组30例，研究组患者给予新模式的护理流程，对照组给予外科常规护理，观察患者伤口愈合情况以及住院天数。结果新护理流程组患者在一般情况，伤口愈合方面均优于常规护理组，住院天数方面新护理流程组为（7.2±1.5）d，常规护理组为（10.5±2.0）d。结论采用新的围手术期护理程序，对于急性化脓性胆管炎合并糖尿病患者来说，具有生命体征平稳，伤口愈合良好，住院时间短的优点，可以在肝胆外科扩大运用。
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