32例肝癌患者合并糖尿病的治疗分析

The treatment of 32 cases of liver cancer patients with diabetes mellitus were analyzed

目的回顾32例肝癌患者合并糖尿病的治疗方法。方法将32例肝癌合并糖尿病患者按照治疗方法不同分为观察组(胰岛素泵)和对照组(常规胰岛素)。对比两组血糖水平变化、术后恢复情况。结果两组术前、术中、术后禁食期间血糖水平差异显著(P<0.05);观察组使用胰岛素平均量明显低于对照组(P<0.05),观察组血糖达标时间短于对照组,低血糖发生率低于对照组,均为P<0.05,差异均有统计学意义。结论围手术期对合并有糖尿病的肝癌患者进行严格的血糖控制十分重要,肝癌合并糖尿病的患者血糖波动大,出现低血糖的频率高,宜从小剂量的短效胰岛素开始。

Objective To review the treatment of 32 cases of liver cancer patients with diabetes mellitus. Methods 32 cases of liver cancer patients with diabetes mellitus according to treatment method divided into observation group （ insulin pump） and the control group （conventional insulin）. Compared two groups of blood sugar level changes, and postoperative recovery. Results Two groups during the preoperative, intraoperative and postoperative fasting blood glucose levels differ significantly （P 〈 0.05 ） ; Use insulin average amount of observation group was obviously lower than the control group （P 〈 0. 05 ）, the observation group blood glucose control is at target time shorter than the control group, the incidence of hypoglycemia is lower than the control group, all P 〈 0.05, differences were statistically significant. Conclusion Perioperative for fiver cancer patients with diabetes strict glycemic control is very important, and liver cancer patients with diabetes mellitus fluctuations in blood sugar, high frequency of hypoglycemia, should start from small doses of short-acting insulin.