老年糖尿病患者髋部骨折围手术期胰岛素的应用  

Application of Insulin during the Preoperative Period of Senile Diabetes Patients with Hip Fracture

作　　者：刘延梅[1] 贾玉琴[1] 包道日娜[1] 李恒斌 潘竞[1] 韦思宇 王晓雪[1] 

机构地区：[1]内蒙古医科大学第二附属医院,内蒙古呼和浩特010030

出　　处：《糖尿病新世界》2017年第12期7-8,共2页Diabetes New World Magazine

基　　金：基金项目:基础胰岛素与预混胰岛控制老年髋部骨折合并糖尿病患者围手术期血糖的疗效与安全性比较(2015YJJ12)

摘　　要：目的探讨老年糖尿病患者髋部骨折围手术期胰岛素的应用效果。方法选取43例该院于2016年1月—2017年1月所收治的髋部骨折的老年糖尿病患者,依患者实际情况于围手术期给予相应胰岛素治疗,观察患者治疗前后各阶段血糖水平变化、手术效果及并发症的发生情况。结果 43例患者均安全渡过围手术期,患者术前1 d血糖水平明显低于入院时,术后2 d血糖水平明显低于术前,出院时血糖水平明显低于入院时,差异有统计学意义(P<0.05);6例术后发生并发症,并发症的发生率为13.95%。结论针对老年糖尿病患者,于髋部骨折围手术期给予胰岛素可有效控制患者血糖水平,促进手术的顺利完成,帮助患者安全度过围手术期,降低术后并发症的发生,值得在临床当中进行推广应用。Objective To study the application effect of insulin during the preoperative period of senile diabetes patients with hip fracture. Methods 43 cases of senile patients with hip fracture admitted and treated in our hospital from January 2016 to January 2017 were selected and the patients were given the corresponding insulin treatment during the preoperative stage according to the practical conditions of patients, and the changes of blood glucose level in various stages, operative effect and occurrence of complications were observed before and after treatment. Results 43 cases underwent the preoperative stage safely, and blood glucose level at 1 d before operation was obviously lower than that at admission（ P〈0.05）, and 6 cases were with complications after operation, and the incidence rate of complications was 13.95%. Conclusion The insulin treatment of senile diabetes patients with hip fracture can effectively control the blood glucose level, promote the successful completion of operation, help patients undergo the preoperative stage safely and reduce the occurrence of postoperative complications, and it is worth promotion and application in clinic.

关 键 词：糖尿病 髋部骨折 围手术期 胰岛素 

分 类 号：R687.3[医药卫生—骨科学]