强化血糖控制在糖尿病患者脊柱外科手术围术期的干预效果

Intervention Effect of Intensive Blood Glucose Control in the Perioperative Period of Spinal Surgery in Patients with Diabetes

目的探究在糖尿病患者脊柱外科手术的围术期中强化血糖控制的临床效果。方法选取该院2018年1月—2021年5月期间接收的行脊柱外科手术的糖尿病患者90例,采用随机数表法分为对照组和研究组,每组45例,对照组给予常规手术治疗与常规血糖控制,研究组给予常规手术治疗与强化血糖控制,探究两组患者围术期血糖含量、伤口愈合情况和并发症发生率。结果治疗前,两组患者的空腹血糖和餐后2 h血糖值差异无统计学意义(P>0.05),治疗后,研究组患者的空腹血糖值和餐后2 h血糖值分别为(6.23±1.43)mmol/L和(8.23±2.11)mmol/L,优于对照组,差异有统计学意义(t=5.044、3.620,P<0.05)。研究组患者的切口愈合率和切口延迟愈合率分别为95.56%和4.44%,优于对照组66.67%和33.33%,差异有统计学意义(χ^(2)=12.256,P<0.05)。研究组患者并发症发生率为4.44%,显著低于对照组患者的20.00%,差异有统计学意义(χ^(2)=5.075,P<0.05)。结论在脊柱外科糖尿病患者中强化血糖控制,其效果显著,可实现对患者的血糖控制,减少患者不良反应发生率,对患者恢复具有积极意义。

Objective To explore the clinical effect of intensive blood glucose control in the perioperative period of spinal surgery in patients with diabetes.Methods 90 diabetic patients who underwent spinal surgery received in this hospital from January 2018 to May 2021 were selected and divided into a control group and a study group according to the random table method,with 45 cases in each group.The control group was given routine surgical treatment and conventional blood sugar control,the study group was given routine surgical treatment and intensive blood sugar control and the perioperative blood sugar levels,wound healing and complication rates were investigated in the two groups.Results Before treatment,there was no statistically significant difference in fasting blood glucose and 2 h postprandial blood glucose values between the two groups of patients(P>0.05).After treatment,the fasting blood glucose and 2 h postprandial blood glucose values were(6.23±1.43)mmol/L and(8.23±2.11)mmol/L,respectively,which were better than those of the control group,and the difference was statistically significant(t=5.044,3.620,P<0.05).The incision healing rate and delayed wound healing rate of the patients in the study group were 95.56%and 4.44%,respectively,which were better than 66.67%and 33.33%in the control group,and the difference was statistically significant(χ^(2)=12.256,P<0.05).The incidence of complications in the study group was 4.44%,which was significantly lower than 20.00%in the control group,and the difference was statistically significant(χ^(2)=5.075,P<0.05).Conclusion Strengthening blood glucose control in diabetic patients with spinal surgery has a significant effect.It can achieve blood glucose control for patients,reduce the incidence of adverse reactions in patients,and has positive significance for patient recovery.