骨科老年糖尿病人的围手术期处理  

Peri-operative Management of Elderly Diabetics with Orthopaedic Conditions

作　　者：鲍恒[1] 王义生[1] 陈凤苞[1] 孙保国[1] 张毓洲[1] 

机构地区：[1]郑州大学第一附属医院骨科,郑州市450052

出　　处：《医药论坛杂志》2004年第18期15-16,共2页Journal of Medical Forum

摘　　要：目的　探讨骨科老年糖尿病病人的围手术期处理特点。方法　对自 2 0 0 1年 7月～ 2 0 0 4年 5月骨科手术病人中的 31例并存糖尿病的老年患者的血糖水平及术后伤口愈合情况进行回顾分析。结果　病人术前空腹血糖水平 :6 4～ 8 3mmol/L。 31例病人中Ⅰ期愈合 2 9例 ,Ⅱ期愈合 2例。无血栓形成、低血糖、心脑血管意外等并发症发生。结论　在围手术期严格要求控制血糖 ,及术后有效的功能锻炼 。Objective To study the peri-operative management of the elderly diabetics with orthpaedic conditions.Methods 31 patients with diabetes mellitus who received operation in orthopaedic department of our hospital(from July 2001 to May 2004)were retrospectively analyzed for the preoperative blood glucose level and wound healing.Results The preoperative value of fasting blood glucose (FBG) ranged from 6.4mmol/L to 8.3mmol/LSmong 31 patients.29 patients had stage Ⅰ wound healing,while 2 patients had stage Ⅱ wound healing.No thrombosis,hypoglycemia,cardiac and cerebral vascular accidents occurred in this group.Conclusion Both strict glycemic control in the perioperative period and active exercise of the limbs are important to prevent the surgical complications.

关 键 词：糖尿病 手术期间 并发症 骨科 

分 类 号：R619[医药卫生—外科学]