糖尿病小切口胆囊切除术前非胰岛素准备的探讨  

Preoperative non - insulin management of diabetic patients receiving mini - cholecystectomy

作　　者：蒲青凡[1] 孙碎康[1] 金凯[1] 蔡宇[1] 余瑞立[1] 戴华卫[1] 严律南[2] 

机构地区：[1]温州医学院附属第三医院外二科,325200 [2]华西医科大学附属一院外科,610041

出　　处：《消化外科》2002年第4期280-282,共3页Journal of Digestive Surgery

摘　　要：目的 探讨糖尿病小切口胆囊切除（MC）术前非胰岛素准备的可行性。方法1996-1999年40例Ⅱ型糖尿病MC患者据术前控制血糖的方法分成非胰岛素组和胰岛素组。比较其围手术期血糖、Na+、K+、二氧化碳结合力（CO2CP）,观察MC术前非胰岛素准备对术后并发症的影响。结果MC术前非胰岛素准备比胰岛素准备更能使糖尿病MC患者术前血糖控制稳定,而不增加其术后并发症发生率。结论 非胰岛素准备是一简单、有效、易被接受的适合于糖尿病MC患者术前控制血糖的方法。Objective To investigage the feasibility of pre - operative non - insulin management of diabetic patients receiving mini - cholecystectomy (MC) . Methods 40 type II diatetic patients undergoing MC between 1996 and 1999 were divided into non - insulin group and insulin group according to the methods of controlling blood glucose levels before MC. Perioperative blood glucose concentrations, serum Na+ , K+ levels and CO2 combining power were compared. The influence of two methods of controlling blood glucose levels before MC the rate of postoperative complications was observed. Results Compared with insulin management, the results indicated that the non - insulin management could control more steadily preoperative blood glucose levels of diabetic patients undergoing MC, and dit not increase the postoperative the rate of postoperative complications. Conclusions The preoperative non - insulin management was a simple, effective and easily accepted method for controlling blood glucose levels of diabetic patients undergoing MC.

关 键 词：糖尿病 术前准备 小切口胆囊切除术 术后并发症 

分 类 号：R657.4[医药卫生—外科学]