糖尿病患者围手术期行全身麻醉和腰硬联合阻滞对血糖的影响分析  

Analysis of the Influence of General Anesthesia and Lumbo-epidural Block on Blood Glucose in Diabetic Patients during Perioperative Period

作　　者：陈丽森 张谋福 孙佳勤 CHEN Lisen;ZHANG Moufu;SUN Jiaqin(Jinjiang City Hospital Jinnan Branch,Quanzhou 362700,Fujian,China)

机构地区：[1]晋江市医院晋南分院,福建泉州362700

出　　处：《糖尿病新世界》2025年第4期28-31,共4页Diabetes New World

摘　　要：目的 研究糖尿病患者围手术期行全身麻醉和腰硬联合阻滞后对其血糖的影响效果。方法 选择2021年1月—2023年12月晋江市医院晋南分院收治的120例行外科手术治疗的糖尿病患者,按照麻醉方法不同分组,对照组(n=60)实施全身麻醉,观察组(n=60)实施腰硬联合阻滞。比较两组血糖水平、生命体征指标,麻醉优良率、胰岛素平均应用剂量。结果 观察组手术开始、手术结束时、手术后3 h的血糖水平较对照组低,差异均有统计学意义(P均<0.05)。观察组麻醉5 min、手术结束时的心率、舒张压、收缩压较对照组低,差异均有统计学意义(P均<0.05)。观察组临床麻醉优良率较对照组高,差异有统计学意义(P<0.05)。观察组胰岛素平均应用剂量为(20.35±2.62)U,少于对照组的(27.43±2.61)U,差异有统计学意义(t=14.829,P<0.05)。结论 糖尿病患者在实施外科手术治疗期间,应用腰硬联合阻滞对其血糖控制效果优于全身麻醉,且生命体征更加稳定,临床麻醉优良率更高,胰岛素平均应用剂量更少。Objective To study the effect of perioperative general anesthesia and lumbo-epidural block on blood glucose in diabetic patients.Methods From January 2021 to December 2023,120 diabetic patients who underwent surgical treatment in Jinjiang City Hospital Jinnan Branch were selected and grouped according to different anesthesia methods.The control group(n=60) was given general anesthesia,and the observation group(n=60) was given lumboepidural block.The blood glucose levels,vital signs,excellent and good rate of anesthesia,average dose of insulin were compared between the two groups.Results At the beginning of operation,at the end of operation and 3 h after operation,the blood glucose level of the observation group was lower than the control group,the differences were statistically significant(both P<0.05).At 5 min after anesthesia and at the end of operation,the heart rate,diastolic blood pressure and systolic blood pressure in the observation group were lower than the control group,the differences were statistically significant(all P<0.05).The excellent and good rate of clinical anesthesia in the observation group was higher than the control group,the difference was statistically significant(P<0.05).The average dose of insulin in the observation group was(20.35±2.62) U,which was less than(27.43±2.61) U in the control group,the difference was statistically significant(t=14.829,P<0.05).Conclusion During the surgical treatment of diabetic patients,the effect of lumbo-epidural block on blood glucose control was better than that of general anesthesia,and the vital signs were more stable,the rate of good and good clinical anesthesia was higher,and the average applied dose of insulin was lower.

关 键 词：糖尿病 全身麻醉 腰硬联合阻滞 血糖 生命体征 

分 类 号：R614[医药卫生—麻醉学]