妇科手术合并2型糖尿病患者的围术期处理

Study on Perioperative Disposal of Gynecological Operation for Diabetes Patients

目的探讨糖尿病患者在妇科手术围术期治疗措施和效果。方法将2009年4月至2011年4月临高县人民医院50例妇科手术合并2型糖尿病患者作为观察组,并选取同期在本院行同类妇科手术无合并糖尿病患者50例,作为对照组。根据观察组患者具体情况制订术前、术中及术后控制血糖方案。观察两组患者切口感染发生情况,记录两组下肢静脉血栓发生情况,记录两组患者住院天数。结果观察组切口感染发生率为4%、下肢静脉血栓发生率为4%,住院时间为(12.4±1.9)d;对照组切口感染发生率为4%、下肢静脉血栓发生率为4%,住院时间为(11.2±2.3)d。两组比较差异无统计学意义(P>0.05)。结论围术期合并2型糖尿病并不是妇科手术患者的手术禁忌证,围术期要积极对血糖进行控制和监测,控制血糖在正常范围或血糖轻度升高,有利于合并糖尿病患者的妇科手术顺利进行,能够有效地避免手术相关并发症。

ObjectiveTo discuss the treatment measures and effect of gynecological operation for diabetes patients in perioperative period.MethodsA total of 50 cases with gynecological operation and type 2 diabetes mellitus from People＇s Hospital of Lingao County during Apr.2009 and Apr.2011 were chosen as observation group.50 cases with the same gynecological operation on patients without diabetes during the same period were chosen as control group.Preoperative,intraoperative and postoperative blood glucose control plan was made according to the patients＇ specific conditions.The incidence of incision infection and lower extremity deep venous thrombosis were observed and the hospitalization days of two groups were recorded.ResultsThe hospitalization days of observation group were（12.4±1.9）d,the incision infection incidenceof observation group was 4%,and lower extremity deep venous thrombosis of observation group was 4%.The hospitalization days of control group were（11.2±2.3）d,the incision infection incidence of control group was 4%,and lower extremity deep venous thrombosis of control group 4%.The difference between the two groups had no statistical significance（P〉0.05）.ConclusionDiabetes in perioperative period is not the surgical contraindication for gynecologic operation.The blood glucose should be actively controlled and monitored during perioperative period,which is helpful to the success of gynecologic operation combined with diabetes and effective avoidance of related complications.