中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
19期
17-18
,共2页
张乃政%罗衍荣%张素芬%储金雁
張迺政%囉衍榮%張素芬%儲金雁
장내정%라연영%장소분%저금안
糖尿病%急性结石性胆囊炎
糖尿病%急性結石性膽囊炎
당뇨병%급성결석성담낭염
Diabetes%Acute calculous cholecystitis
目的 观察糖尿病对急性结石性胆囊炎手术及预后的影响.方法 回顾性分析2000年1月至2007年12月我院外科收治的194例急性结石性胆囊炎手术治疗的临床资料,根据既往有无糖尿痛史及就诊时血糖检查情况分为糖尿病组和血糖正常组,比较两组病人疗效差异.结果 合并糖尿病113例,相比血糖正常组,糖尿病组病人病情复杂,恢复慢,术后其他系统感染性并发症的发生率高(P<0.05),严格控制血糖可提高治疗效果.结论 影响合并糖尿病的急性结石性胆囊炎疗效的关键因素是控制血糖.
目的 觀察糖尿病對急性結石性膽囊炎手術及預後的影響.方法 迴顧性分析2000年1月至2007年12月我院外科收治的194例急性結石性膽囊炎手術治療的臨床資料,根據既往有無糖尿痛史及就診時血糖檢查情況分為糖尿病組和血糖正常組,比較兩組病人療效差異.結果 閤併糖尿病113例,相比血糖正常組,糖尿病組病人病情複雜,恢複慢,術後其他繫統感染性併髮癥的髮生率高(P<0.05),嚴格控製血糖可提高治療效果.結論 影響閤併糖尿病的急性結石性膽囊炎療效的關鍵因素是控製血糖.
목적 관찰당뇨병대급성결석성담낭염수술급예후적영향.방법 회고성분석2000년1월지2007년12월아원외과수치적194례급성결석성담낭염수술치료적림상자료,근거기왕유무당뇨통사급취진시혈당검사정황분위당뇨병조화혈당정상조,비교량조병인료효차이.결과 합병당뇨병113례,상비혈당정상조,당뇨병조병인병정복잡,회복만,술후기타계통감염성병발증적발생솔고(P<0.05),엄격공제혈당가제고치료효과.결론 영향합병당뇨병적급성결석성담낭염료효적관건인소시공제혈당.
Objective To investigate the influence of diabetes on acute calculous cholecystitis operations and prognosis.Methods Clinical data of 194 cases on acute calculous cholecystitis admitted from Jan. 2000 to Dec. 2007 were analyzed retrospectively. According to combining diabetes or not, the treatment on the two groups of patients was studied. Results Compared with serum glucose- normal group, patients with diabetes manifested more complicated, slow recovery after operation, and more incidence of infectious complications(P <0.05). If the patient's blood- glucose concentration could be well controlled, the effect of surgical treatment will be very gratified. Conclusion Stable serum glucose level maintains is the key factor resulted in better prognosis of acute calculous cholecystitis combined with diabetes.
