强化血糖控制与糖尿病患者胃肠肿瘤手术并发症的关系

The Correlations between Intensive Glucose Lowering and the Post-operative Complications in the Diabetic Patients Underwent Curative Surgery for Gastrointestinal Tumor

目的探讨胃肠肿瘤合并糖尿病的患者术前血糖是否得到强化控制与根治性手术并发症的关系。方法选取胃肠恶性肿瘤合并糖尿病的患者82例,根据其术前糖化血红蛋白水平,分为强化血糖控制组和一般控制组。比较两组患者术后并发症的发生率和术后恢复情况。结果术前强化血糖控制的患者术后切口延迟愈合的发生率(12.8%)显著低于一般控制组(31.4%),术后平均住院时间为(10.5±2.9)天,亦显著少于一般控制组的(12.5±3.3)天(P<0.05)。结论对于接受择期手术的糖尿病患者,术前宜强化血糖控制,以促进术后恢复。

Objective To evaluate the correlations between intensive glucose lowering and the post-operative complications in the diabetic patients underwent curative surgery for gastrointestinal tumor.Methods Eighty-two patients were divided into intensive glucose lowering group and general lowering group according their serum HbA1c concentrations.And the incidence of post-operative complications and recovery were compared between the two groups.Results Patients receive intensive glucose lowering had lower incidence of delayed healing incision（12.8% vs 31.4%,P〈0.05） and shorter hospital stays（10.5±2.9 vs 12.5±3.3 days,P〈0.05）.Conclusion For the diabetic patients underwent selective operation,intensive glucose lowering should be recommended.