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探讨糖尿病患者关节置换围手术期血糖控制的胰岛素多次注射法 (MS)及胰岛素泵法 (CS) ,并找出围手术期胰岛素应用的时间。为此 ,从 1997-0 8～ 2 0 0 3 -0 6,75例合并高血糖的髋关节及膝关节病患者进行了关节置换手术 ,围手术期用多次皮下注射法或者胰岛素泵法控制血糖 ,并根据尿糖监测指导胰岛素的用量。结果表明 ,胰岛素应用是髋关节置换围手术期控制血糖较好的方法 ,多次注射法及胰岛素泵法均可较好的控制血糖 ,尿糖监测是方便实用的间接血糖检测法 ,并可指导胰岛素用量。
To investigate the perioperative blood glucose control of diabetic patients with perioperative insulin injection (MS) and insulin pump (CS), and find out the perioperative insulin application time. To this end, from 1997-0 8 ~ 2 0 0 3 -0 6,75 cases of hyperglycemia in patients with hip and knee joint arthroplasty surgery, perioperative multiple subcutaneous injection or insulin pump control Blood glucose, and urine glucose monitoring guide the amount of insulin. The results showed that insulin application is a better perioperative control of blood glucose in patients undergoing total hip arthroplasty. Multiple injections and insulin pump can control blood sugar well, and urine glucose monitoring is a convenient and practical indirect blood glucose test and can guide Insulin dosage.