内科为基础外科为手段中西医结合治愈糖尿病

Internal Medicine as the Basis,Surgery as a Means to Radical Diabetes

探索内科为基础,外科为手段治愈糖尿病。首先内科住院治疗,确保糖尿病患者进行手术的基本体质;控制好患者的血糖,使其达到实施手术的指征。术前对患者的病情进行严格、合理、正确的评价。空腹血清C肽值大于正常低限值的1/3的患者方可实施胃转流(GBP)手术。术后的康复应包括长期的随访,饮食营养的合理调配,依据患者的病情不定期的监测,心理治疗的支持,不良生活方式的监控等。内科、外科不分家,中西医联合,"三维一体"治愈糖尿病,这一目标是可以实现的。

To explore internal medicine as the basis,surgery as a means to treat diabetes radically. The patients were firstly treated with internal medicine in hospital, to ensure that diabetes patients with basic physical of operations and good blood glucose control to achieve the implementation of the indication for surgery. The preoperative patients were assessed strictly, reasonably and correctly. Before implementation of the gastric bypass （GBP） surgery, fasting serum c-peptide of the patients must be higher than 1/3 of the normal lower limit. Postoperative rehabilitation should be carried out including：a long-term follow-up, reasonable allo- cation of diet nutrition, aperiodic monitor based on the patient ＇ s condition, psychological support treatment, poor lifestyle monito- ring. Regardless of medicine or surgery, a joint Chinese and western medicine, and ＂three-dimensional＂ treatment, the goal of rad- ical diabetes was achievable.