摘要
目的探讨糖尿病对胆道手术的影响及控制血糖的有效方法。方法通过设立严格的病例对照,比较30例糖尿病患者与非糖尿病患者、胰岛素治疗与非强化治疗胆道手术并发症的发生率。结果糖尿病显著增加胆道术后并发症的发生率,围手术期胰岛素强化治疗,可减少并发症的发生。结论高血糖是胆道病患者手术并发症高发生率的主要原因,规范围手术期胰岛素强化治疗是预防手术并发症的关键。
Objective To investigate the influence of diabetes mellitus on biliary tract surgery and the methods of controling the blood glucose. Methods A case - control study of 30 diabetics receiving operations for biliary tract diseases was undertaken. Patients were matched for mode of operation, age, gender and preoperative coexisting diseases with non - diabetic control. Their morbidity of postoperative complications was compared. Results Postoperative morbidity was increased by diabetes mellitus and decreased by perioperative intensifying therapy with insulin. Conclusion Hyperglycemia was the main reason for high postoperative morbidity of biliary tract surery. And standardization of perioperative intensifying therapy with insulin are key to the prevention of postoperative complications.
出处
《医药论坛杂志》
2007年第14期30-31,共2页
Journal of Medical Forum
关键词
糖尿病
胆道疾病
治疗
Diabetes mellitus
Biliary tract disease
Therapy
