2型糖尿病合并口腔癌患者围术期强化血糖控制与营养支持的效果  

The Effect of Intensive Glycemic Control and Nutritional Support During Perioperative Period in Patients with Type 2 Diabetes Mellitus Complicated with Oral Cancer

作　　者：林晓玲[1] LIN Xiaoling(Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《糖尿病新世界》2022年第7期30-33,41,共5页Diabetes New World Magazine

摘　　要：目的探究在2型糖尿病合并口腔癌患者的围术期加强患者血糖控制和营养支持的干预效果。方法选择2018年1月—2021年6月90例2型糖尿病合并口腔癌患者平分为对照组和研究组,每组45例,分别给予常规手术治疗、常规血糖控制和在围术期给予强化血糖控制和强化营养支持,比较两组患者治疗后的血糖指标、生化指标、患者住院时间和伤口愈合时间。结果治疗前,两组患者的各项血糖值差异无统计学意义(P>0.05),治疗后研究组患者的空腹血糖、餐后2 h血糖分别为(8.90±1.29)、(9.84±1.45)mmol/L,均比对照组低,差异有统计学意义(t=5.025、4.773,P<0.05)。治疗后研究组患者的血红蛋白、血清蛋白、总淋巴细胞值分别为(127.87±10.34)g/L、(37.94±4.76)g/L、(1.53±0.22)×10^(9),均优于对照组,差异有统计学意义(t=2.916、3.974、5.243,P<0.05)。研究组患者的甲级伤口愈合为88.89%显著高于对照组,差异有统计学意义(χ^(2)=5.405,P<0.05);研究组患者的住院时间为(8.34±0.34)d,显著低于对照组,差异有统计学意义(t=6.356,P<0.05)。结论在2型糖尿病合并口腔癌患者的围术期加强对患者的血糖控制和营养支持,有利于促进患者恢复,对患者血糖水平进行有效控制,应用效果显著。Objective To explore the intervention effect of strengthening blood glucose control and nutritional support in patients with type 2 diabetes mellitus complicated with oral cancer during the perioperative period.Methods From January 2018 to June 2021,90 patients with type 2 diabetes mellitus complicated with oral cancer were divided into a control group and a study group,45 cases in each group,and were given conventional surgery,conventional blood sugar control,and intensive blood sugar control in the perioperative period.After treatment,blood glucose indexes,biochemical indexes,hospitalization time and wound healing time were compared between the two groups.Results Before treatment,there was no statistically significant difference in blood glucose levels between the two groups(P>0.05).After treatment,the fasting blood glucose and 2 h postprandial blood glucose of the study group were(8.90±1.29)mmol/L and(9.84±1.45)mmol/L were lower than those in the control group,and the difference was statistically significant(t=5.025,4.773,P<0.05).After treatment,the values of hemoglobin,serum protein and total lymphocytes in the study group were(127.87±10.34)g/L,(37.94±4.76)g/L,and(1.53±0.22)×10^(9),which were all better than those in the control group.the difference was statistically significant(t=2.916,3.974,5.243,P<0.05).The grade A wound healing of the patients in the study group was 88.89%,which was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=5.405,P<0.05).The hospitalization time of patients in the study group was(8.34±0.34)d,which was significantly lower than that in the control group,and the difference was statistically significant(t=6.356,P<0.05).Conclusion Strengthening blood glucose control and nutritional support in the perioperative period of patients with type 2 diabetes mellitus complicated with oral cancer is conducive to promoting the recovery of patients.Effective control of blood glucose levels in patients,the application effect is remark

关 键 词：2型糖尿病 口腔癌 围术期 强化血糖控制 强化营养支持 

分 类 号：R59[医药卫生—内科学]