围术期强化胰岛素治疗对乳腺癌合并糖尿病病人术后康复的疗效观察  

Perioperative intensive insulin therapy on the efficacy of rehabilitation in patients with breast cancer combined with diabetes

作　　者：韩嘉嘉[1] 蔡洁[1] 侯明晖[2] 邵长卿 

机构地区：[1]青岛大学医学院附属医院东区乳腺病治疗中心,山东青岛,266061 [2]青岛市肿瘤医院外二科,山东青岛,266000

出　　处：《临床普外科电子杂志》2013年第4期35-36,45,共3页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的观察围术期强化胰岛素治疗对乳腺癌合并糖尿病病人术后康复的疗效。方法选择2011年1月至2013年1月住院的乳腺癌合并糖尿病的手术病人120例,术前随机分成强化胰岛素治疗组及常规胰岛素治疗组,观察术后引流量、体温、伤口感染情况。结果术后24小时引流量两组间比较无明显差异(χ2=1.564 P=0.458);发热及伤口感染情况,强化胰岛素治疗组明显优于常规治疗组(χ2=6.274 P=0.043)。结论强化胰岛素治疗有利于乳腺癌合并糖尿病病人的术后切口愈合,明显减少并发症的发生。Objective To explore perioperative intensive insulin therapy on the efifcacy of rehabilitation in patients with breast cancer combined with diabetes. Methods 120 patients with breast cancer combined with diabetes underwent surgery were randomly divided into the group of intensive insulin therapy and the group of conventional insulin therapy in 2011 January to 2013 January. The postoperative drainage, fever and wound infection condition of the patients with breast cancer were observed. Results There are no obvious difference of the postoperative drainage volume in the patients between the group of intensive insulin therapy and the group of conventional treatment(χ2=1.564, P=0.458).The postoperative fever and wound infection condition in the group of intensive insulin therapy were obvious different than those of the group of conventional treatment (χ2=6.274, P=0.043). Conclusions Intensive insulin therapy was beniifcial to postoperative recovery of the patients with breast cancer combined with diabetes, and this therapy could reduce postoperative complications and the hospitalization expenses.

关 键 词：强化胰岛素治疗 乳腺癌 糖尿病 

分 类 号：R6[医药卫生—外科学] R58[医药卫生—临床医学]