2型糖尿病合并急性胆囊炎的临床治疗体会

Clinical Treatment of Type 2 Diabetes Mellitus with Acute Cholecystitis

目的研究探讨2型糖尿病合并急性胆囊炎的临床治疗方法。方法选取2015年5月-2019年10月该院普外科收治的100例2型糖尿病合并急性胆囊炎作为观察对象,通过电脑分组法将患者分为对照组和实验组,每组50例。对照组患者胆囊炎围手术期给予降糖药物,实验组患者胆囊炎围手术期在降糖药物基础上使用甘精胰岛素,观察对比两组患者在胆囊炎手术后并发症的发生率及血糖指数对比。结果对照组2型糖尿病合并急性胆囊炎患者50例中,出现手术并发症患者为7例,手术并发症发生率为14.0%。观察组2型糖尿病合并急性胆囊炎患者50例中,出现手术并发症患者为1例,手术并发症发生率为2.0%。通过观察研究发现实验组在手术后并发症的发生率、血糖指数对比均低于对照组,差异有统计学意义(P<0.05)。结论对2型糖尿病合并急性胆囊炎患者进行手术治疗时要加强对其血糖的控制,可以有效地减少患者手术后的并发症。

Objective To investigate the clinical treatment of type 2 diabetes mellitus with acute cholecystitis.Methods 100 cases of type 2 diabetes complicated with acute cholecystitis admitted to the general surgery department of the hospital from May 2015 to October 2019 were selected as the observation objects.The patients were divided into control group and experimental group by computer grouping method,with 50 cases in each group.Patients in the control group were given hypoglycemic drugs during perioperative period of cholecystitis,while patients in the experimental group were given insulin glargine on the basis of hypoglycemic drugs during perioperative period of cholecystitis.Results Among the 50 patients with type 2 diabetes combined with acute cholecystitis in the control group,7 had surgical complications,and the incidence of surgical complications was 14.0%.Among the 50 patients with type 2 diabetes combined with acute cholecystitis in the observation group,1 had surgical complications,and the incidence of surgical complications was 2.0%.Through observation and research,it was found that the incidence of postoperative complications in the experimental group was lower than that in the control group,with certain statistical significance(P<0.05).Conclusion In the treatment of patients with type 2 diabetes and acute cholecystitis,blood sugar control should be strengthened,which can effectively reduce postoperative complications.