老年骨创伤合并糖尿病的围手术期处理分析  

Old Bone Trauma Perioperative Management Analysis of Diabetes Mellitus

作　　者：周楚坤[1] 

机构地区：[1]广东省深圳市人民医院暨南大学第二临床医学院,广东深圳518020

出　　处：《中国医学创新》2016年第7期129-132,共4页Medical Innovation of China

摘　　要：目的:研究老年骨创伤合并糖尿病在临床治疗中,围手术处理方法和效果。方法:将本院收治的老年骨创伤合并糖尿病患者40例作为研究对象,根据实际情况选择合适的麻醉和手术方案,并做好术前、术中、术后处理工作。观察患者的临床治疗效果,比较生命体征和血糖指标变化情况,并通过随访了解患者的生活质量。结果:40例患者中无死亡病例发生,住院时间平均(20.1±2.4)d,术后并发症发生率为15.0%,均对症处理后好转。患者治疗后HR、RR、FBG、2 h FBG等指标均明显降低,生活自理能力优良率明显提高,和治疗前相比,差异均有统计学意义(P<0.05)。结论:老年骨创伤合并糖尿病患者具有一定的特殊性,实施积极的围手术期处理措施能够改善患者的治疗指标,减少术后并发症,促进血糖水平稳定降低,提高生活质量。Objective： To study the old bone trauma of diabetes mellitus in the clinical treatment, perioperative treatment method and effect. Method： 40 elderly patients with bone trauma combined with diabetes were selected as the research objects, and appropriate anesthesia and operation plan were chosen.The therapeutic effect,the vital signs and blood glucose index,the quality of life were observed and compared. Result： There was no death case in 40 patients, the average length of hospital stay was（20.1±2.4） days, the incidence of postoperative complications was 15%, which was improved after symptomatic treatment. HR, RR, FBG, 2 h FBG, and other indicators were significantly lower, the quality of life of the patients was improved, and the difference was clear before treatment, with statistical significance（P〈0.05）. Conclusion： Senile bone trauma patients complicated with diabetes has certain particularity, implementation positive perioperative treatment measures can improve the indexes in the treatment of patients, reduce the postoperative complications, promote the reduction of the blood sugar levels stable, improve the quality of life.

关 键 词：骨创伤 糖尿病 围手术处理 

分 类 号：R687.3[医药卫生—骨科学] R587.1[医药卫生—外科学]