胰岛素泵在糖尿病患者单侧膝关节置换术围术期应用效果

The Effect of Insulin Pump in Perioperative Period of Unilateral Knee Arthroplasty in Diabetic Patients

目的探究在糖尿病单侧膝关节置换术实施的围术期中将胰岛素泵进行应用的临床效果。方法选取2019年1月—2021年7月期间在该院接受治疗的100例糖尿病患者为研究对象,并接受单侧膝关节置换术,将其分为两组,对照组给予多次皮下胰岛素注射,研究组给予持续皮下胰岛素注射,对两组患者围术期的血糖水平、住院天数和住院费用进行比较。结果研究组患者的空腹、早餐后2 h、午餐前0.5 h、午餐后2 h、晚餐前0.5 h、晚餐后2 h和凌晨2∶00各时间段的血糖水平分别为(7.00±0.73)、(8.64±0.93)、(7.74±0.77)、(8.75±0.76)、(7.67±0.82)、(8.17±0.99)、(6.66±0.54)mmol/L;同时,研究组患者的待手术天数、手术后住院天数、总住院天数和患者的待手术期间控制血糖费用、待手术期间其他费用、待手术期间总费用、手术后其他费用、住院其他总费用、住院总费用分别为(1.54±0.73)、(8.76±1.90)、(9.66±1.64)d和(266.55±47.43)、(406.45±47.93)、(654.34±36.56)、(22698.34±91.23)、(23106.44±109.34)、(24497.45±149.03)元,以上指标均优于对照组,差异有统计学意义(P<0.05)。结论在糖尿病患者单侧膝关节置换术围术期中应用胰岛素泵,其临床效果显著,可减少患者的手术费用,缩短患者住院时间,促进患者恢复。

Objective To explore the clinical effect of applying insulin pump in the perioperative period of diabetic unilateral knee arthroplasty.Methods 100 diabetic patients who received treatment in the hospital from January 2019 to July 2021 were selected as the research subjects.And received unilateral knee arthroplasty.They were divided into two groups,the control group was given multiple subcutaneous insulin injections,the study group was given continuous subcutaneous insulin injections.The perioperative blood glucose levels,hospitalization days and hospitalization costs were compared between the two groups.Results The blood glucose levels of the patients in the study group at fasting,2 h after breakfast,0.5 h before lunch,2 h after lunch,0.5 h before dinner,2 h after dinner and 2:00 am were respectively(7.00±0.73)mmol/L,(8.64±0.93)mmol/L,(7.74±0.77)mmol/L,(8.75±0.76)mmol/L,(7.67±0.82)mmol/L,(8.17±0.99)mmol/L and(6.66±0.54)mmol/L,at the same time,the number of days to be operated,the days of hospitalization after surgery,the total days of hospitalization,and the cost of blood glucose control during the surgery,other costs during the surgery,the total cost of the surgery,and other costs after surgery,the total cost of other hospitalization,and the total cost of hospitalization,respectively(1.54±0.73)d,(8.76±1.90)d,(9.66±1.64)d and(266.55±47.43)yuan,(406.45±47.93)yuan,(654.34±36.56)yuan,(22698.34±91.23)yuan,(23106.44±109.34)yuan,(24497.45±149.03)yuan,the above indicators were better than the control group,the difference was statistically significant(P<0.05).Conclusion The application of insulin pump in the perioperative period of unilateral knee arthroplasty in diabetic patients has a significant clinical effect,which can reduce the patient's operation cost,shorten the patient's hospital stay,and promote the patient's recovery.