中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
50-51
,共2页
急腹症合并糖尿病%围术期处理%血糖控制
急腹癥閤併糖尿病%圍術期處理%血糖控製
급복증합병당뇨병%위술기처리%혈당공제
Acute abdomen associated with diabetes mellitus%Perioperative treatment%Blood glucose control
目的：探讨急腹症合并糖尿病患者围术期处理的体会，以此提高手术的成功率，有效减少并发症发生。方法整群选择2012年1月-2014年10月该院收治的58例急腹症合并糖尿病患者作为研究对象，根据不同处理方法，把58例患者均分为对照组与观察组，每组各29例患者。对照组给予常规处理，观察组给予围术期处理，比较两组患者的处理效果。结果通过对血糖进行控制后，观察组患者28例血糖均控制于10 mmol/L以下，27例切口愈合良好，1例肺部感染；对照组有20例血糖控制于10 mmol/L以下，22例切口愈合良好，4例肺部感染，2例泌尿系统感染，有1例由于术后感染休克导致多脏器功能衰竭死亡。观察组处理效果明显优于对照组，两组组间对比差异有统计学意义（P<0.05）。结论急腹症合并糖尿病患者围术期应做好血糖控制，并积极治疗糖尿病并发症，从而提高手术治疗效果，使患者顺利康复出院。
目的：探討急腹癥閤併糖尿病患者圍術期處理的體會，以此提高手術的成功率，有效減少併髮癥髮生。方法整群選擇2012年1月-2014年10月該院收治的58例急腹癥閤併糖尿病患者作為研究對象，根據不同處理方法，把58例患者均分為對照組與觀察組，每組各29例患者。對照組給予常規處理，觀察組給予圍術期處理，比較兩組患者的處理效果。結果通過對血糖進行控製後，觀察組患者28例血糖均控製于10 mmol/L以下，27例切口愈閤良好，1例肺部感染；對照組有20例血糖控製于10 mmol/L以下，22例切口愈閤良好，4例肺部感染，2例泌尿繫統感染，有1例由于術後感染休剋導緻多髒器功能衰竭死亡。觀察組處理效果明顯優于對照組，兩組組間對比差異有統計學意義（P<0.05）。結論急腹癥閤併糖尿病患者圍術期應做好血糖控製，併積極治療糖尿病併髮癥，從而提高手術治療效果，使患者順利康複齣院。
목적：탐토급복증합병당뇨병환자위술기처리적체회，이차제고수술적성공솔，유효감소병발증발생。방법정군선택2012년1월-2014년10월해원수치적58례급복증합병당뇨병환자작위연구대상，근거불동처리방법，파58례환자균분위대조조여관찰조，매조각29례환자。대조조급여상규처리，관찰조급여위술기처리，비교량조환자적처리효과。결과통과대혈당진행공제후，관찰조환자28례혈당균공제우10 mmol/L이하，27례절구유합량호，1례폐부감염；대조조유20례혈당공제우10 mmol/L이하，22례절구유합량호，4례폐부감염，2례비뇨계통감염，유1례유우술후감염휴극도치다장기공능쇠갈사망。관찰조처리효과명현우우대조조，량조조간대비차이유통계학의의（P<0.05）。결론급복증합병당뇨병환자위술기응주호혈당공제，병적겁치료당뇨병병발증，종이제고수술치료효과，사환자순리강복출원。
Objective To investigate the perioperative management of diabetes mellitus patients with acute abdomen so as to im-prove the success rate and reduce complications. Methods 58 patients suffering from acute abdomen associated with diabetes mel-litus admitted to our hospital between January 2012 and October 2014 were selected as the research object and divided into con-trol group and observation group according to different treatment methods with 29 in each one. Routine treatment was conducted in the control group, while perioperative management was performed in the observation group, between which the effects were com-pared. Results After blood glucose control, in the observation group, the blood glucose of 28 patients was under 10mmol/L, well-healed incision was observed in 27 patients, and there was 1 case of pulmonary infection;in the control group, the blood glucose of 20 patients was under 10mmol/L, well-healed incision was found in 22 patients, there were 4 cases of pulmonary infection, 2 cases of urinary system infection and 1 case of death due to multiorgans failure cased by postoperative infection and shock. The effect was better in the observation group than in the control group, and the difference was statistically significant (P<0.05). Conclusion For diabetes mellitus patients with acute abdomen, in order to make them discharged early, we can improve the treatment effect by controlling their perioperative blood glucose and treating complications of diabetes.
