32例肝癌患者合并糖尿病的治疗分析

Treatment Analysis of 32 Cases of Liver Cancer Patients with Diabetes Mellitus

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 method of 32 cases of liver cancer patients with diabetes mellitus.Methods：32cases of liver cancer patients with diabetes mellitus according to treatment method were divided into observation group（insulin pump）and control group（conventional insulin）.Compared blood sugar level changes and postoperative recovery of two groups.Results：Fasting blood glucose levels of two groups during the preoperative,intraoperative and postoperative were significantly different（P〈0.05）;Average amount of insulin of observation group was obviously lower than that of control group（P〈0.05）;The time to reach the blood glucose standard of observation group was shorter than that of control group,and the incidence of hypoglycemia was lower than that of control group（P〈0.05）.The differences were statistically significant.Conclusion：It is very important for liver cancer patients with diabetes mellitus to receive strict glycemic control during the perioperative.Blood sugar of liver cancer patients with diabetes mellitus fluctuates greatly,with high frequency of hypoglycemia,it is suitable to start from small doses of short-acting insulin.