CAJ | 학술논문

目的：探讨大肠癌合并糖尿病围术期的处理。方法回顾性分析1995年3月至2010年6月外科治疗的145例大肠癌合并糖尿病患者，其中常规组63例，围术期用短效正规胰岛素（ RI）；强化组82例，围术期用胰岛素强化治疗，比较两组术后并发症发生情况。结果145例患者均行择期手术，无手术死亡。术后并发症常规组明显多于强化组，差异有统计学意义（P﹤0.05）。结论大肠癌合并糖尿病围术期采用胰岛素强化治疗，能明显降低术后并发症，改善患者生活质量。
목적：탐토대장암합병당뇨병위술기적처리。방법회고성분석1995년3월지2010년6월외과치료적145례대장암합병당뇨병환자，기중상규조63례，위술기용단효정규이도소（ RI）；강화조82례，위술기용이도소강화치료，비교량조술후병발증발생정황。결과145례환자균행택기수술，무수술사망。술후병발증상규조명현다우강화조，차이유통계학의의（P﹤0.05）。결론대장암합병당뇨병위술기채용이도소강화치료，능명현강저술후병발증，개선환자생활질량。
Objective To investigate the perioperative treatment of diabetic patients with color-ectal carcinoma. Methods Form March 1995 to June 2010,145 patients with diabetes mellitus who un-derwent operations in our hospital were analyzed retrospectively,and conventional group had 63 examples, short-acting regular insulin was used in perioperative management;Intensive group had 82 examples,in-tensive insulin therapy was used in perioperative management. Postoperative complications were recor-ded. Results One hundred and forty-five cases all underwent elective operations,there was no operative death. The postoperative complications in intensive group was more than that in the conventional group, there was significant difference( P﹤0. 05 ). Conclusions It is very important to control blood glucose and urine glucose to normal level for elderly patients with colorectal and diabetes mellitus in perioperative period. Intensive insulin therapy used in mellitus perioperative management for cotorectal cancer with dia-betes,can obviously reduce postoperative complications and improve the quality of life of the patients.