摘要
目的: 探讨糖尿病患者骨科手术围手术期血糖的控制和对手术的影响。方法: 回顾性分析35例骨疾病并存糖尿病的患者接受骨科手术治疗围手术期的血糖调控情况。结果: 35例患者入院时空腹血糖(13 0±1 5) mmol/L, 经术前用胰岛素控制血糖至(7 .0±2 .3) mmol/L后, 分别接受全髋关节置换、股骨头置换、腰椎滑脱协和钢板脊柱内固定系统复位固定等复杂骨科手术治疗, 术中及术后继续用胰岛素控制血糖至基本正常水平, 本组术后血糖为(8. 0±1 .8) mmol/L。35例中, 仅1例(2. 9% ) 术后内固定松动, 未发生感染和其他并发症。术后患者症状体征均明显改善, 肢体功能恢复良好。结论: 糖尿病患者经正确的围手术期处理, 将血糖控制至基本正常水平, 可耐受复杂的骨科手术。
Objective:To evaluate the perioperative blood glucose control on orthopaedic surgery results in the patients with diabetes mellitus.Method:The blood glucose control during perioperative period in 35 patients with diabetes mellitus who had accepted the orthopaedic surgery were analysed retrospectively.Result:The average fasting blood glucose level of 35 cases on admission was (13.0±1.5)mmol/L,and was controlled to (7.0±2.3 ) mmol/L,with insulin before surgery.Insulin was kept on being used during operation and postoperatively.Lossening of internal fixation occurred only in one of the 35 cases.No infection occurred,nor other complications.Conclusion:The patients with diabetes mellitus can accept complicated orthopaedic surgery after controlling the blood glucose level with insulin in perioperative period.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第7期500-502,共3页
Orthopedic Journal of China
关键词
骨疾病
糖尿病
围手术期
Bone disease
Diabetes mellitus
Perioperative period
