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目的探讨“3C”系统在围术期妊娠糖尿病患者中的应用效果。方法选取达州市中心医院2014年5月—2016年4月收治的围术期妊娠糖尿病患者184例,按照随机数字表法将所有患者分为观察组和对照组,各92例。观察组患者围术期采用“3C”系统治疗,对照组患者采用指尖血糖监测和胰岛素持续静脉输注、多次皮下胰岛素注射。比较两组患者围术期初始血糖、24 h平均血糖及血糖波动,并观察患者低血糖、高血糖、切口感染发生情况。结果两组患者初始血糖水平比较,差异无统计学意义(P>0.05);观察组患者24 h平均血糖水平低于对照组,血糖波动高于对照组(P<0.05)。观察组患者低血糖率、高血糖率和切口感染率均低于对照组(P<0.05)。结论“3C”系统在围术期妊娠糖尿病患者中的应用效果佳,有助于提高患者围术期血糖达标率,减少不良反应,降低手术风险。
Objective To investigate the effect of “3C” system in perioperative gestational diabetes mellitus. Methods 184 cases of perioperative gestational diabetes mellitus admitted from May 2014 to April 2016 in Dazhou Central Hospital were divided into observation group and control group according to random number table method, with 92 cases in each group. Patients in the observation group were treated with “3C” system during perioperative period. Patients in the control group were treated with fingertip blood glucose monitoring and continuous intravenous infusion of insulin and subcutaneous insulin injection. Perioperative initial blood glucose, 24-hour average blood glucose and blood glucose levels were compared between the two groups, and the incidence of hypoglycemia, hyperglycemia and incisional infection were observed. Results There was no significant difference in initial blood glucose level between two groups (P> 0.05). The average blood glucose level of 24 h in observation group was lower than that of control group, and the fluctuation of blood glucose was higher than that of control group (P <0.05). The hypoglycemia rate, hyperglycemia rate and incision infection rate in observation group were lower than those in control group (P <0.05). Conclusion The application of “3C” system in perinatal gestational diabetes patients is effective and can help to improve perioperative blood glucose compliance rate, reduce adverse reactions and reduce surgical risk.