骨科老年糖尿病患者围手术期处理方法探讨  

Perioperative Management of Orthopaedic Surgery in Elderly Patientswith Diabetes Mellitus

作　　者：石永常[1] 刘洋[1] 

机构地区：[1]首都医科大学附属北京天坛医院骨科

出　　处：《首都医科大学学报》2004年第1期98-99,共2页Journal of Capital Medical University

摘　　要：为探讨骨科老年糖尿病患者围手术期处理方法 ,对需要骨科手术治疗的 17例并存有糖尿病的患者利用正规胰岛素进行围手术期的血糖调整 ,血糖控制指标为 :空腹 <7.8mmol/L ,餐后 2h <11.1mmol/L。术后随访时间12～ 4 2月 ,平均 2 0月。结果 :无 1例发生感染和酮症酸中毒等并发症 ,骨科疾病均已治愈 ,日常生活能力恢复至术前水平。结果提示 :胰岛素优于口服降糖药 ,能够及时有效控制血糖 ,争取最佳手术时机 ,是骨科糖尿病患者围手术期处理的理想药物 。The aim was to evaluate the perioperative blood glucose control on orthopaedic surgery results in the old pa tients with diabetes mellitus. The blood glucose control during perioperative pe riod in 17 patients with diabetes mellitus who had accepted the orthopaedic surg ery were analysed retropectively. Patient's controlled glucose sta ndard were observed (before meal <7.8 mmol/L, 2 h after meal <11.1 mmol/L). Th e average dura tion of follow-up was 20 months, the patients' orthopaedics diease were curled with no infection and no DKA. Their competence in life was as good as before ope ration. Regular insulin is the abstract method for orthopaedic patients complica t ed with diabetics before operation. Insulin controls blood sugar suitably and ef fectively, which is better than oral drugs to prevent diabetic complications.

关 键 词：糖尿病 围手术期 处理 骨科疾病 

分 类 号：R587.1[医药卫生—内分泌]