消化道恶性肿瘤患者围手术期血糖水平与术后并发症、住院费用、住院天数的关系.pdfVIP

The relationship between perioperative blood glucose levels and postoperative complications, hospital costs, hospital days in alimentary canal malignancy patients Abstract Objective:To study the influence between hyperglycemia in the perioperative period and postoperative complications, hospital costs, hospital length of stay in patients with alimentary canal malignancy who undiagnosed diabetes. Methods: Review the clinical data of 1,015 cases of alimentary canal malignant patients with undiagnosed diabetes who treated in oncological surgery in our hospital from January 2010 to January 2012.Analyzed the preoperative fasting blood glucose, hepatic function, renal function, and the first postoperative day blood glucose, hepatic function, renal function and other indicators, Discussion the relationship between perioperative blood glucose levels of non-diabetic patients with alimentary canal malignancy and postoperative complications, hospital costs, hospitalization days. Results: In 1015 cases of patients with alimentary canal malignancy who undiagnosed diabetes, preoperative fasting blood glucose more than 6.1mmol / L, accounted for 16.4%;more than 7.0mmol/L, 5.1%.First postoperative day, blood sugar more than 6.1mmol/L accounted for 79.0%, more than 7.0mmol/L, 60.4%, significantly higher than the preoperative incidence of hyperglycemia （more than 6.1mmol/L，2=798.75 ，P0.01 ；more than 7.0mmol/L，2=703.83 ，P0.01 ）. Age, the first postoperative day blood glucose, the cost of hospitalization and hospitalization days in the postoperative complications group were significantly higher than those without postoperative complications group. Length of hospital stay, cost of hospitalization