[目的]探讨血糖监测管理对食管癌手术高血糖老年患者预后的影响.[方法]选取2011年6月至2016年6月于本院接受治疗的82例接受食管癌手术的高血糖老年患者为研究对象,按照随机数表法平均分成观察组及对照组两组,每组各41例.观察组接受血糖监测管理,控制血糖达标,对照组接受常规管理.比较两组患者并发症、死亡情况,血糖、C反应蛋白(CRP)、白细胞数值情况,切口引流以及吻合口瘘情况.[结果]观察组术后并发症发生率为14.63％(6/41),显著低于对照组的63.41％(26/41);观察组患者无死亡现象,对照组患者出现2例死亡现象;观察组患者切口引流、吻合口瘘情况好于对照组;观察组血糖值、CRP以及白细胞等指标均低于观察组,差异均具有统计学意义(P＜0.05).[结论]血糖监测管理能够显著减少食管癌手术高血糖老年患者并发症的发生以及死亡例数,且患者其他生化指标较稳定,切口引流及吻合口瘘发生率较低,值得临床推广.“,”[Objective]To explore the clinical effect of blood glucose monitoring on the prognosis of elderly patients that have undergone esophageal cancer operation.[Methods]A total of eighty-two patients with esophageal cancer surgery in elderly patients with high blood glucose from June 2011 to June 2016 in our hospital were recruited as the research subject.They were randomly divided into the observation group and the control group,with 41 cases in each.Patients in the observation group received blood glucose monitoring and management to put blood glucose under control,while patients in the control group only received routine management.Blood glucose,white blood cell,C reactive protein (CRP),incision drainage and anastomotic leakage,complications,and mortality were recorded.[Results]The incidence of postoperative complications was 14.63％ (6/41) in the observation group,which was significantly lower than that in the control group (63.41％,26/41).There were no deaths in the observation group and 2 cases of death in the control group.The incisional drainage of the observation group was better than that of the control group.The levels of blood glucose,CRP and whitc blood cclls in thc obscrvation group were lower than those in the observation group;the difference was statistically significant (P ＜0.05).[Conclusion]Monitoring of blood glucose has a significant impact on the prognosis of elderly esophageal cancer patients with high blood glucose level.It can significantly reduce the incidence of complications and deaths in elderly patients with hyperglycemia.