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目的:针对实施普外手术的糖尿病患者开展控制血糖方法的相关研究,分析手术疗效受血糖控制的影响作用。方法:收集2009年5月-2011年5月合并糖尿病实施普外手术的80例患者,结合对其控制血糖的方法分为观察组与对照组,每组各有患者40例。观察组患者采取胰岛素泵与诺和灵R笔芯控制血糖,对照组患者采取应用诺、灵R笔芯与N笔芯,围手术期结合患者血糖变化对胰岛素用量进行随时调整。结果:两组患者给药后,空腹血糖、餐后2小时血糖与给药前相比下降比较明显,而且观察组比对照组低(P<0.05);观察组患者平均血糖达标时间、抗生素使用时间、术后拆线时间及住院时间都显著低于对照组(P<0.05);对于术后低血糖、感染及酮症等不良并发症,观察组患者发生率比对照组低(P<0.05)。结论:对于实施普外手术的糖尿病患者合理控制血糖,能够使并发症发生率及病死率明显降低,使患者生存质量得到提高。
OBJECTIVE: To study the related methods of controlling blood sugar in patients with generalized diabetes mellitus and to analyze the effect of blood sugar control on the efficacy of surgery. Methods: Eighty patients who underwent general surgery with diabetes mellitus were collected from May 2009 to May 2011. The patients were divided into observation group and control group according to their methods of controlling blood glucose. There were 40 patients in each group. Patients in the observation group took insulin pump and Novolin R cartridge to control the blood sugar. Patients in the control group were treated with Noolink R cartridge and N cartridge, and the insulin dosage was adjusted at any time during the perioperative period. Results: The fasting blood glucose and postprandial 2-hour postprandial blood glucose decreased significantly compared with those before treatment in the two groups (P <0.05). The mean duration of glycemic control in the observation group was significantly lower than that in the control group Time, postoperative stitching time and hospital stay were significantly lower than the control group (P <0.05); postoperative low blood sugar, infection and ketosis and other adverse complications, the observation group patients with lower incidence rate than the control group (P <0.05 ). CONCLUSIONS: Rational control of blood glucose in patients with generalized surgery can significantly reduce the incidence of complications and mortality, and improve the quality of life of patients.