围术期强化胰岛素治疗对乳腺癌合并糖尿病患者术后康复的效果

Effect of Intensive Insulin Therapy during the Perioperative Period on the Postoperative Recovery of Patients with Breast Cancer and Diabetes

目的探究围术期强化胰岛素治疗对乳腺癌合并糖尿病患者术后康复的效果。方法从该院2016年4月—2017年4月收治的乳腺癌合并糖尿病的手术患者中选取60例作为研究对象,分为观察组和对照组,分别给予对照组常规胰岛素治疗,观察组患者进行强化胰岛素治疗,对两组患者的治疗效果进行观察。结果观察组的胸壁引流量(278.03±49.56)m L明显多于对照组,观察组的切口愈合时间为(9.68±2.36)h明显短于对照组(P<0.05);观察组出现发热、切口感染、低血糖、皮下积液等总并发症情况明显少于对照组(P<0.05)。结论给予乳腺癌合并糖尿病患者使用强化胰岛素治疗,有利于患者切口的愈合,减少出现并发症情况。

Objective To study the effect of intensive in sul in therapy during the perioperative period on the postoperative recovery of patients with breast cancer and diabetes. Methods 60 cases of patients with breast cancer and diabetes surgery in our hospital from April 2016 to April 2017 were selected as the research objects and divided into two groups, respectively treated with routine insulin and intensive insulin, and the treatment effect of the two groups was observed. Results Thechest wall drainage volume in the observation group was （278.03±49.56）mL, which was obviously more than that in the control group, and the incision healing time in the observation group was （9.68±2.36）h, which was obviously shorter than that in the control group （P〈0.05）, and the occurrence of total complications such as fever, incision infection, hypoglycemia and seroma in the observation group were obviously lower than those in the control group （P〈0.05）. Conclusion The intensive insulin treatment for patients with breast cancer and diabetes is conducive to incision healing and reducing the occurrence of complications.