58例急腹症合糖尿病患者围术期处理.docVIP

58例急腹症合并糖尿病患者围术期处理 　　[摘要] 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中国论文网 /6/viewhtm　　[关键词] 急腹症合并糖尿病；围术期处理；血糖控制 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742（2015）08（c）-0050-02 　　Perioperative Management for 58 Patients with Acute Abdomen Associated with Diabetes Mellitus 　　YU Yong-cai 　　Department of Surgery， Guangling District Hospital of TCM， Yangzhou， Jiangsu Province， 225001 China 　　[Abstract] Objective To investigate the perioperative management of diabetes mellitus patients with acute abdomen so as to improve the success rate and reduce complications. Methods 58 patients suffering from acute abdomen associated with diabetes mellitus admitted to our hospital between January 2012 and October 2014 were selected as the research object and divided into control 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 compared. 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 　　1 资料与方法 　　1.1 一般资料 　　整群选择该院收治的58例急腹症合并糖尿病患者作为研究对