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目的探讨糖尿病对结肠肿瘤患者行结肠术围手术期的影响。方法2000年1月至2007年10月糖尿病合并结肠肿瘤行结肠手术患者39例(糖尿病组),同期随机抽取非糖尿病结肠肿瘤行结肠手术患者39例(对照组),并对糖尿病组实施术前、术后血糖控制、选择合适手术方式,观察术后两组肛门排气时间、切口感染、腹腔感染等发生率。结果糖尿病组术后平均排气时间延长(P<0.01),切口感染发生率高于对照组(P<0.05),腹腔感染率两组差异无统计学意义(P>0.05)。结论糖尿病患者行结肠手术时,加强围术期管理可降低术后感染等并发症的发生。
Objective To investigate the effect of diabetes on colorectal surgery in patients with colon cancer. Methods From January 2000 to October 2007, 39 patients undergoing colorectal surgery with diabetes mellitus (DM group) underwent colorectal surgery and 39 patients (control group) underwent colonic surgery at non-diabetic colon tumors at the same period. Diabetes patients underwent preoperative , Postoperative blood glucose control, select the appropriate surgical approach to observe the postoperative anal exhaust time, incision infection, abdominal infection and other incidence. Results The mean duration of postoperative exhaust was longer in diabetic group (P <0.01). Incision infection rate was higher in diabetic group than in control group (P <0.05). There was no significant difference in infection rate between two groups (P> 0.05). Conclusions During the colorectal surgery in diabetic patients, strengthening perioperative management can reduce the incidence of complications such as postoperative infection.