强化降血糖治疗对老年糖尿病患者围手术期血糖控制的影响  被引量:3

The application of intensified blood sugar control approach in peri- operational blood sugar control of elder diabetic patients

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作  者:胡海红[1] 叶建虹[1] 黄永刚[1] 

机构地区:[1]浙江医院,浙江杭州310013

出  处:《浙江医学教育》2015年第5期49-51,共3页Zhejiang Medical Education

摘  要:目的:探讨强化降血糖治疗与一般性降糖治疗对老年糖尿病患者围手术期血糖控制的影响。方法:选取2012年6月至2014年10月在本院接受胃肠道择期手术合并2型糖尿病患者96例作为研究对象,术后均常规禁食并全胃肠外营养。按手术时间的先后顺序编号随机分成2组,各48例,治疗组采取强化降血糖治疗,对照组采用一般性降血糖治疗。结果:2组患者围手术期低血糖发生率分别为6.25%、8.33%,差异无统计学意义(P>0.05)。治疗组患者术后并发症的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:采取强化降血糖治疗可显著降低糖尿病患者围手术期的术后并发症,有助于患者术后的康复。[Objective] To compare the effect of intensified blood sugar( BG) control approach and normal BG control approach in peri- operational BG control of elder diabetic patients. [Method] 96 cases of elder diabetic patients who had undergone gastrointestinal surgery during 2012- 6 to 2014- 10 was selected as the study object. All of these patients was given fasting diet and total parenteral nutrition( TPN) after surgery. Patients was numbered by surgery date and divided into two groups randomly with 48 cases each. The clinical intervention strategy for therapy group was intensified BG control approach and normal BG control approach for control group. [Result] Two groups turn out to have similar incidence of hypoglycemia,with therapy group 6. 25% and control group 8. 33%,which has no significant difference( P 0. 05). While therapy group had lower post- operation complication incidence than control group,which has significant difference( P 0. 05). [Conclusion]Intensified BG control approach could lower the post- operation complication incidence of diabetic patients,and conduce to patients' post- operation recovery.

关 键 词:糖尿病 血糖 围手术期 强化降血糖 

分 类 号:R587.1[医药卫生—内分泌]

 

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