择期行内镜下高频电凝结直肠息肉切除术患者术后低血糖发生情况及影响因素分析  

Occurrence and influencing factors of postoperative hypoglycemia in patients undergoing elective endoscopic highfrequency electrocoagulation resection of colorectal polyps

作　　者：郑德旺 胡荣[1] 王媛媛 王鑫成 姜文[2] ZHENG De-wang;HU Rong;WANG Yuan-yuan;WANG Xin-cheng;JIANG Wen(Department of Anesthesiology,Huangshan Shoukang Hospital,Huangshan 245000,Anhui,China;Department of Gastroenterology,Huangshan Shoukang Hospital,Huangshan 245000,Anhui,China)

机构地区：[1]黄山首康医院麻醉科,安徽黄山245000 [2]黄山首康医院消化内科,安徽黄山245000

出　　处：《生物医学工程与临床》2024年第1期91-95,共5页Biomedical Engineering and Clinical Medicine

摘　　要：目的分析择期行内镜下高频电凝结直肠息肉切除术患者术后低血糖发生情况及影响因素。方法选择2020年5月至2022年5月200例择期行内镜下高频电凝结直肠息肉切除术患者,其中男性104例,女性96例;年龄34~77岁,平均年龄50.6岁;身体质量指数(BMI)20.1~23.3 kg/m^(2),平均BMI 21.3 kg/m^(2);息肉数目,单发92例,多发108例;合并2型糖尿病45例;睡眠质量差59例;焦虑抑郁66例。统计术后1 d低血糖发生情况,发生低血糖者纳入低血糖组,未发生低血糖者纳入非低血糖组,收集患者临床资料,并采用Logistic回归分析术后发生低血糖的影响因素。结果200例患者中,21例术后发生低血糖,总发生率为10.50%;单因素分析显示,低血糖组年龄≥60岁、合并2型糖尿病、术前禁食时间≥10 h、术前无补液、术前睡眠质量差、术前存在焦虑抑郁情绪、术后不合理补液者占比高于非低血糖组(P<0.05);多因素Logistic回归分析显示,年龄≥60岁、合并2型糖尿病、术前禁食时间≥10 h、术前无补液、术前睡眠质量差、术前存在焦虑抑郁情绪、术后不合理补液均为择期行内镜下高频电凝结直肠息肉切除术患者术后低血糖的独立危险因素(P<0.05)。结论择期行内镜下高频电凝结直肠息肉切除术患者术后低血糖发生率较高,与患者年龄、高血糖病史、术前禁食时间、术前术后补液情况、术前睡眠质量及焦虑抑郁情绪均有关,临床可据此制定预防措施,降低术后低血糖风险。Objective To analyze the occurrence and influencing factors of postoperative hypoglycemia in patients undergoing elective endoscopic high-frequency electrocoagulation resection of colorectal polyps.Methods From May 2020 to May 2022,a total of 200 patients performed elective endoscopic high-frequency electrocoagulation resection of colorectal polyps were enrolled,which included 104 males and 96 females,aged 34-77 years old with mean age of 50.6 years old;body mass index(BMI)was 20.1-23.3 kg/m^(2) with mean BMI of 21.3 kg/m^(2).There were 92 cases of single polyps and 108 cases of multiple polyps.Combined with type 2 diabetes in 45 cases,poor sleep quality in 59 and 66 of anxiety and depression.The incidence of hypoglycemia at 1-day after operation was counted.The patients with hypoglycemia were enrolled in hypoglycemia group,and without hypoglycemia were enrolled in non-hypoglycemia group.The clinical data of patients were collected,and influencing factors of postoperative hypoglycemia were analyzed by Logistic regression.Results The hypoglycemia occurred in 21 of 200 patients,the total incidence was 10.50%.The univariate analysis showed that age≥60 years old,combined with type 2 diabetes,preoperative fasting time≥10-hour,without fluid replacement,poor sleep quality,anxiety and depression,and postoperative unreasonable fluid replacement in hypoglycemia group were higher than those in non-hypoglycemia group(P<0.05).The multivariate Logistic regression analysis showed that age≥60 years old,combined with type 2 diabetes,fasting time≥10-hour,without rehydration,poor sleep quality,anxiety and depression,and postoperative unreasonable rehydration were all independent risk factors for hypoglycemia after elective endoscopic high-frequency electrocoagulation colorectal polyps(P<0.05).Conclusion It is demonstrated that the incidence rate of postoperative hypoglycemia is high in patients performed endoscopic high-frequency electrocoagulation resection of colorectal polyps,which is closely related to the age,history o

关 键 词：结直肠息肉 内镜 高频电凝肠息肉切除术 低血糖 影响因素 

分 类 号：R656[医药卫生—外科学]