胰岛素泵在盆底器官脱垂糖尿病患者围手术期中应用研究.docVIP

胰岛素泵在盆底器官脱垂糖尿病患者围手术期中应用研究 　　[摘要] 目的 探讨盆腔器官脱垂的糖尿病患者如何在围手术期平稳有效地控制血糖。 方法 选择2015年1月～2016年7月南京市第一医院25例盆腔器官脱垂的糖尿病患者为观察组。另外选取同期入院治疗的30例非糖尿病盆底器官脱垂患者为对照组。观察组予胰岛素泵控制血糖。监测观察组围手术期血糖，比较两组患者平均术后住院天数、抗生素使用天数、术后感染发生率，观察低血糖等并发症发生情况。 结果 两组患者住院天数及抗生素使用天数差异无统计学意义（P0.05），两组患者会阴部切口愈合均良好，无切口感染发生，其他系统也未见明确感染发生。 结论 胰岛素泵使用安全、有效，使盆底器官脱垂糖尿病患者安全平稳度过围手术期，并不增加住院时间及抗生素使用时间。 　　[关键词] 盆底器官脱垂；糖尿病；胰岛素泵；围手术期 　　[中图分类号] R587.1；R619 [文献标识码] B [文章编号] 1673-9701（2017）17-0042-03 　　[Abstract] Objective To investigate how to control the blood glucose in the perioperative period of diabetic patients with pelvic organ prolapse. Methods A total of 25 diabetic patients with pelvic organ prolapse from January 2015 to July 2016 in Nanjing First Hospital were enrolled as the observation group. In addition， 30 patients with non-diabetic pelvic organ prolapse in the same period were selected as the control group. The observation group was given insulin pump to control blood sugar. The perioperative blood glucose of the observation group was monitored. The average postoperative hospital stay， the number of antibiotics used， and the incidence of postoperative infection were compared between the two groups. The occurrence of complications such as hypoglycemia was observed. Results There were no significant differences in the length of hospital stay and the days of antibiotics used between the two groups（P0.05）. The perineal incision healing were good， and no incision infection occurred in two groups of patients. No clear infection occurred in other systems. Conclusion Insulin pump is safe and effective， which can make the diabetic patients with pelvic organ prolapse through the perioperative period safely and smoothly， and do not increase the length of stay and antibiotic use time. 　　[Key words] Pelvic floor organ prolapse； Diabetes mellitus； Insulin pump； Perioperative period 　　盆腔器官?垂是老年妇女的常见疾病，严重影响中老年女性的健康和生活质量，其发生率达30%～50%[1]。随着糖尿病的发病率不断上升和人口的老龄化，妇科盆底器官脱垂患者合并糖尿病的人群也不断增加。该类患者手术耐受性低，围手术期并发症以及住院时间较正常人明显增加[2]。因而如何控制好