子宫肌瘤合并糖尿病患者的围手术期治疗分析

Perioperative Treatment Analysis of Uterine Fibroids with Diabetes

目的研究子宫肌瘤合并糖尿病患者实施围手术期中西医治疗的效果及价值。方法选择70例于该院接受子宫肌瘤手术的糖尿病患者,纳入时间为2016年4月—2018年4月,采用随机数字表法将其分为实验组与参照组,每组均35例。其中参照组采用常规治疗模式,实验组行围手术期中西医治疗,对比2组患者手术前后相关指标、术后并发症情况及临床治疗效果。结果手术前2组患者相关指标差异无统计学意义(P>0.05),与参照组相比,手术后实验组空腹血糖、餐后2 h血糖、糖化血红蛋白、三酰甘油较低,实验组低血糖、血糖超标、切口感染、泌尿系统感染等并发症发生率(8.57%)与参照组(34.29%)相比较低,与参照组(74.29%)相比,实验组子宫肌瘤合并糖尿病临床治疗效果(94.29%)较高,组间差异有统计学意义(P<0.05)。结论子宫肌瘤合并糖尿病患者应用中西医相结合的治疗方式,合理控制患者血糖水平,保障其术后恢复效果,应予以临床推广。

Objective To study the effect and value of perioperative Chinese and Western medicine in patients with uterine fibroids and diabetes. Methods Seventy patients with diabetes mellitus who underwent uterine fibroid surgery in our hospital were enrolled. The patients were enrolled from April 2016 to April 2018. They were randomly divided into experimental group and reference group, with 35 cases in each group. The reference group used the conventional treatment mode, and the experimental group underwent perioperative Chinese and Western medicine treatment. The relative indexes, postoperative complications and clinical treatment effects of the two groups were compared. Results There were no differences between the two groups before operation (P>0.05). Compared with the reference group, the postoperative blood glucose, postprandial blood glucose, glycosylated hemoglobin and triglyceride were lower in the experimental group, and the experimental group had hypoglycemia and blood glucose, the incidence of complications such as excessive standard, wound infection, and urinary tract infection (8.57%) was lower than that of the reference group (34.29%). Compared with the reference group (74.29%), the clinical effect of uterine fibroids with diabetes in the experimental group (94.29%) was higher and there was a significant difference between the groups (P<0.05). Conclusion The combination of traditional Chinese and western medicine in the treatment of uterine fibroids and diabetes patients should be used to control the blood glucose level and ensure the recovery effect.