外科手术中糖尿病患者行全麻和硬膜外麻醉的研究

The Study of General Anesthesia and Epidural Anesthesia for Diabetic Patients in Surgery

目的探究外科手术中糖尿病患者行全身麻醉和硬膜外麻醉的效果。方法择取2018年2月-2019年10月期间在该院进行外科手术治疗的糖尿病患者92例为研究对象,根据随机数字表法分为对照组和观察组,每组46例,对照组行全身麻醉,观察组行硬膜外麻醉,比较两组患者不同时间点血糖水平、血浆胰岛素水平以及麻醉前后血液流变学指标。结果不同时间点观察组患者血糖水平、血浆胰岛素水平优于对照组,差异有统计学意义(P<0.05);麻醉后观察组患者血液流变学指标低于对照组,差异有统计学意义(P<0.05)。结论外科手术糖尿病患者术中行硬膜外麻醉能够维持患者良好的血液流变学水平,保证血浆胰岛素和血糖水平保持在适宜手术开展的范围内,因此该种麻醉方式值得进行大力推广应用。

Objective To explore the effect of general anesthesia and epidural anesthesia on diabetic patients in surgery.Methods 92 diabetic patients who underwent surgical treatment in the hospital from February 2018 to October 2019 were selected as the study objects.According to the random number table method,they were divided into control group and observation group,46 cases in each group,general anesthesia in the control group and epidural anesthesia in the observation group.Blood glucose level,plasma insulin level and hemorheology before and after anesthesia were compared between the two groups at different time points Index.Results The blood glucose level and plasma insulin level of the observation group were better than those of the control group at different time points,the difference was statistically significant(P<0.05);the hemorheology index of the observation group after anesthesia was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Epidural anesthesia can maintain the good Hemorheology level of diabetic patients during surgery,and keep the plasma insulin and blood glucose level within the range suitable for surgery.Therefore,this kind of anesthesia is worth promoting.