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目的：研究大肠癌伴糖尿病患者围手术期的处理及效果。方法： 对１９９４～１９９７ 年６月间４６８例大肠癌中２３例糖尿病患者，４３例血糖增高者（血糖５．８～７．８ ｍ ｍ ｏｌ／Ｌ）手术进行了回顾性对照研究。结果：术后切口感染率，吻合口漏及死亡率， 血糖正常组分别为５．４７％ ，１．７４％ 和０．２５％ ；血糖增高组分别为６．９％ ，０ 和２．３％ ； 糖尿病组分别为１７．４％ ，４．３％ 和４．３％ 。结论： 虽然进行了充分的术前准备及术后处理， 但由于术前血糖的增高，术后并发症及病死率均逐渐增高，因此糖尿病患者的围手术期处理及术式的选择仍需引起外科医生的高度重视。
Objective: To study the management and effect of perioperative period in patients with colorectal cancer and diabetes. Methods: A retrospective study of 23 patients with diabetes mellitus and 43 patients with elevated blood glucose (blood glucose 5.8-7.8 m m ol/L) was performed between June 1994 and June 1997. RESULTS: Postoperative wound infection rate, anastomotic leakage, and mortality were 5.47%, 1.74%, and 0.25% in the normal blood glucose group, and 6.9%, 0, and 2.3 in the hyperglycemia group, respectively. %; The diabetic group was 17.4%, 4.3% and 4.3%, respectively. Conclusion: Although adequate preoperative preparation and postoperative treatment were performed, because of the increase of preoperative blood glucose, postoperative complications and mortality, the perioperative management of patients with diabetes and the choice of surgical methods need to be induced. The surgeon attaches great importance.