强化血糖控制对胃癌合并2型糖尿病患者术后血糖水平和并发症的影响

Effects of enhanced glycemic control on postoperative blood glucose level and complication of patients with gastric cancer and type 2 diabetes mellitus

目的观察胃癌合并2型糖尿病患者强化血糖控制的效果。方法胃癌合并2型糖尿病患者76例分为对照组(n=38)和观察组(n=38)。对照组给予常规模式护理,观察组在对照组基础上给予强化血糖控制干预。比较2组患者术后不同时间段空腹血糖水平,平均住院时间、术口愈合时间及术后并发症发生情况。结果观察组术后首日和出院时空腹血糖水平优于对照组(P<0.01)。观察组住院时间以及切口愈合用时少于对照组(P<0.01)。观察组并发症总发生率低于对照组(P<0.05)。结论胃癌合并2型糖尿病患者术后强化血糖控制,对降低术后并发症发生、促进康复具有积极意义。

Objective To observe the effect of enhanced glycemic control on postoperative blood glucose level and complication of patients with gastric cancer and type 2 diabetes mellitus.Methods Totally 76 patients with gastric cancer and type 2 diabetes mellitus were assigned to the control group and the observation group,with 38 cases in each group.Both two groups received routine care in perioperative period,and the enhanced glycemic control was carried out in the observation group additionally.The fasting blood glucose(FBG) level,the average hospital stay,the healing time of surgical incision and the postoperative complications were observed and compared between the two groups.Results Patients in the observation group had a better FBG level compared with that of controls at 1 day after operation and at discharge(P < 0.01).the length of stay and incision healing time were shorter in the observation group than those in the control group(P < 0.01).The overall incidence of complication was lower in the observation group than that of controls(10.53% vs.31.58%,P < 0.05).Conclusion The enhanced glycemic control nursing can reduce the incidence rate of postoperative complications and promote the postoperative recovery of patients with gastric cancer complicated with type 2 diabetes mellitus.