54例胃肠肿瘤合并糖尿病患者围术期的处理

54 cases of gastric cancer patients with diabetes mellitus perioperative treatment

目的:探讨胃肠恶性肿瘤合并糖尿病患者围术期处理。方法:选取胃肠恶性肿瘤合并糖尿病患者54例,另随机抽取无糖尿病胃肠恶性肿瘤患者50例为对照组,比较两组患者术后并发症的发生率和术后恢复情况。结果:术后并发症如切口裂开、腹胀、恶心呕吐、吻合口瘘、肛门排气时间及住院时间等,两组差异无统计学意义(P>0.05)。结论:胃肠肿瘤合并糖尿病患者在围术期给予降糖治疗,使血糖控制在正常范围,术后并发症与血糖正常者无明显差异,能平稳度过围术期,促进术后恢复。

Objective： To explore the merger gastrointestinal malignancy diabetes perioperative period. Methods： Selected gastrointestinal malignancy, 54 cases of merger diabetic patients without diabetes other randomly gastrointestinal malignant tumor patient 50 cases as control group, compared two groups of patients the morbidity and postoperative recovery. Results： Postoperative complications such as incision in the jaw, and abdominal distension, nausea and vomiting, anastomotic fistula, anal exhaust time, and length of time, two groups of difference was statistically significant （P0.05）. Conclusion： Gastrointestinal tumors in patients with diabetes mellitus perioperative give hypoglycemic therapy, make glucose control in the normal range, the postoperative complications and normal blood sugar no obvious difference, can ride out perioperative, promote the postoperative recover.