摘要
目的评价2型糖尿病患者腹腔镜胆总管取石术术后血糖变化规律及其影响因素。方法对施行腹腔镜胆总管取石术的36例2型糖尿病患者进行术前、术后1、2h、1、3及5d血糖监测。结果2型糖尿病患者术后1、2h血糖显著升高(P<0.05),术后1天基本接近术前水平(P>0.05)。术后血糖升高与手术时间、糖尿病病程、术前血糖水平呈正相关,与术后并发症有关。结论对2型糖尿病患者术前应正确评价糖尿病病情,术中缩短手术时间,减少创伤,术后严格控制并发症。
[Objective] To evaluate the change of blood sugar in patients of type 2 diabetes mellitus after choledochoscopy, and to analyze the relative reasons. [Methods] Blood sugar of 36 patients type 2 diabetes mellitus who underwent the choledochoscopy was examined preoperatively, and 1-2 hours, 1, 3, and 5 days postoperatively. [Results] Compared with blood sugar preoperative ,it increased significantly postoperative （P 〈0.05）, and reached the preoperative level 1 day postoperatively （P 〉0.05）. There was a positive correlation between blood sugar increase and surgery time, diabetic duration, and preoperative blood sugar. The diabetic complications were related to the postoperative blood sugar. [ Conclusions] Preoperative correct estimate of diabetic condition, shorter surgery time, minimized surgical damage, and good control of postoperative complications should be noted in patients with type 2 diabetes mellitus.
出处
《中国医学工程》
2006年第2期166-167,170,共3页
China Medical Engineering
