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作者观察了非糖尿病对照者和2型糖尿病患者手术所致的代谢改变,并研究了输注GIK后怎样减少代谢改变。 患者和方法 随机选择6例行腹部手术的非糖尿病对照者作研究。所有人皆健康和未用药。研究期间患者输注生理盐水6h。11例2型糖尿病患者随机列为未治疗组。他们的饮食皆相同,仅口服优降糖和氯磺丙脲。如果患者在手术前入院用氯磺丙脲,则手术前48h改用优降糖。手术前对照用一天三次血糖测定评价。若平均血糖<10mmol/L认为是满意的。患者皆无任何糖尿病并发症。手术期间
The authors looked at the surgeries of metabolic changes in non-diabetic controls and patients with type 2 diabetes and examined how to reduce metabolic changes after GIK infusion. Patients and Methods Six randomly selected non-diabetic controls undergoing abdominal surgery were studied. Everyone is healthy and unmedicated. Patients during the study infusion of saline 6h. Eleven patients with type 2 diabetes were randomly assigned to untreated group. Their diet is the same, only oral glyburide and chlorpropamide. If the patient was treated with chlorpropamide before surgery, the hypoglycemic agent was switched to 48 hours before surgery. The preoperative control was evaluated with blood glucose three times a day. If the average blood glucose <10mmol / L is considered satisfactory. None of the patients have any diabetic complications. During surgery