连续胰岛素滴注在2型糖尿病患者行胃转流手术围术期的应用效果  

Perioperative Effect of Continuous Insulin Infusion in Patients with Type 2 Diabetes Undergoing Gastric Bypass Surgery

作　　者：张莺 ZHANG Ying(The First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350005 China)

机构地区：[1]福建医科大学附属第一医院,福建福州350005

出　　处：《糖尿病新世界》2022年第10期39-42,共4页Diabetes New World Magazine

摘　　要：目的探究连续胰岛素滴注在2型糖尿病患者行胃转流手术围术期的临床应用效果。方法选取于2018年1月—2021年6月收治的110例2型糖尿病患者为研究对象,患者均给予胃转流手术。将患者随机分为研究组和对照组,各55例。给予对照组患者围术期多次皮下胰岛素注射,给予研究组患者围术期连续胰岛素滴注。对两组患者的治疗有效率、血糖指标情况和并发症发生率进行比较分析。结果干预后,研究组患者的糖化血红蛋白值、空腹血糖值、餐后2 h血糖值分别为(6.44±1.02)%、(7.33±1.23)mmol/L,(8.81±0.49)mmol/L均低于对照组,差异有统计学意义(t=4.418、2.630、8.272,P<0.05)。研究组患者的治疗有效率为96.36%,高于对照组患者的85.45%,差异有统计学意义(χ^(2)=3.960,P<0.05)。研究组患者并发症发生率为3.64%,低于对照组的14.55%,差异有统计学意义(χ^(2)=3.960,P<0.05)。结论在2型糖尿病患者行胃转流手术围术期采用连续胰岛素滴注,可将患者的血糖水平进行合理控制,减少患者的不良反应发生率。Objective To investigate the clinical effect of continuous insulin infusion in the perioperative period of gastric bypass surgery in patients with type 2 diabetes mellitus.Methods A total of 110 patients with type 2 diabetes who were treated from January 2018 to June 2021 were selected as the research objects.All patients were given gastric bypass surgery,and the patients were randomly divided into the study group and the control group,with 55 cases in each.Patients in the control group were given multiple subcutaneous insulin injections during the perioperative period,and patients in the study group were given continuous insulin instillation during the perioperative period.The treatment efficiency,blood glucose index and complication rate of the two groups of patients were compared and analyzed.Results After intervention,the glycated hemoglobin value,fasting blood glucose value and 2 h postprandial blood glucose value of the patients in the study group were(6.44±1.02)%,(7.33±1.23)mmol/L,and(8.81±0.49)mmol/L,respectively,lower than the control group,the difference was statistically significant(t=4.418,2.630,8.272,P<0.05).The effective rate of patients in the study group was 96.36%,which was higher than 85.45%in the control group,and the difference was statistically significant(χ^(2)=3.960,P<0.05).The incidence of complications in the study group was 3.64%,which was lower than 14.55%in the control group,and the difference was statistically significant(χ^(2)=3.960,P<0.05).Conclusion The use of continuous insulin instillation in the perioperative period of gastric bypass surgery in patients with type 2 diabetes mellitus can reasonably control the blood glucose level of patients and reduce the incidence of adverse reactions in patients.

关 键 词：连续胰岛素滴注 2型糖尿病 胃流转手术 围术期 

分 类 号：R473[医药卫生—护理学]