胰岛素泵连续皮下注射在糖尿病合并胆总管结石患者行腹腔镜手术中的应用效果  

Application Effect of Continuous Subcutaneous Injection of Insulin Pump in Laparoscopic Surgery in Patients with Diabetes and Common Bile Duct Stones

作　　者：姚珍华 YAO Zhenhua(Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院,福建福州350001

出　　处：《糖尿病新世界》2022年第10期83-86,90,共5页Diabetes New World Magazine

摘　　要：目的探究在糖尿病合并胆总管结石患者行腹腔镜手术过程中应用围术期胰岛素泵连续皮下注射的临床效果。方法选取2018年1月—2021年10月该院收治的糖尿病合并胆总管结石患者100例,将其平均分为两组,每组50例,均给予腹腔镜手术治疗,研究组组在此基础上给予患者围术期胰岛素泵连续皮下注射,对照组给予多次胰岛素注射,对两组患者的空腹血糖、餐后2 h血糖、手术时间、出血量、肛门排气时间、住院时间和并发症发生率进行比较分析。结果治疗后,研究组患者的空腹血糖和餐后2 h血糖分别为(6.11±0.43)mmol/L和(8.00±0.54)mmol/L,均低于对照组,差异有统计学意义(t=14.171、16.880,P<0.05)。研究组患者的手术时间、出血量、肛门排气时间和住院时间分别为(98.56±17.05)min、(35.45±12.32)mL、(25.45±3.22)h和(7.67±1.22)d,各项数据均优于对照组,差异有统计学意义(t=8.512、15.628、30.166、33.918,P<0.05)。研究组患者的并发症发生率为8.00%显著低于对照组,差异有统计学意义(χ^(2)=5.741,P<0.05)。结论针对糖尿病合并胆总管结石患者来说,应用腹腔镜手术的临床效果显著,可促进患者恢复,在此过程中应用围术期胰岛素泵连续皮下注射方法,可有效控制患者血糖含量,减少并发症发生率,促进患者恢复。Objective To explore the clinical effect of continuous subcutaneous injection of perioperative insulin pump during laparoscopic surgery in patients with diabetes and choledocholithiasis.Methods 100 patients with diabetes and choledocholithiasis admitted to the hospital from January 2018 to October 2021 were selected and divided into two groups,50 patients in each group,who were given laparoscopic surgery.On this basis,the study group was given continuous subcutaneous injection of insulin pump during perioperative period,and the control group was given multiple insulin injections.The fasting blood glucose,2 h postprandial blood glucose,operation time,blood loss,anal exhaust time,hospital stay and the incidence of complications were compared and analyzed between the two groups of patients.Results After treatment intervention,the fasting blood glucose and 2 h postprandial blood glucose of the study group were(6.11±0.43)mmol/L and(8.00±0.54)mmol/L,respectively,and all were lower than those of the control group,the difference was statistically significant(t=14.171,16.880,P<0.05).At the same time,the operation time,blood loss,anal exhaust time and hospitalization time of the patients in the study group were(98.56±17.05)min,(35.45±12.32)mL,(25.45±3.22)h and(7.67±1.22)d,respectively,all of which were better than those of the control group,the difference was statistically significant(t=8.512,15.628,30.166,33.918,P<0.05).In addition,the incidence of complications in the study group was 8.00%,which was significantly lower than that in the control group,the difference was statistically significant(χ^(2)=5.741,P<0.05).Conclusion For patients with diabetes mellitus complicated with choledocholithiasis,the application of laparoscopic surgery has significant clinical effect and can promote the recovery of patients.In this process,the continuous subcutaneous injection method of perioperative insulin pump was applied,and its effect was remarkable.It can effectively control the blood glucose level of patients,reduce the inci

关 键 词：围术期 胰岛素泵 连续皮下注射 糖尿病合并胆总管结石 

分 类 号：R587[医药卫生—内分泌]