摘要
目的:探讨妇科疾病合并糖尿病患者手术治疗的效果。方法:回顾性分析36例妇科疾病合并糖尿病手术患者血糖控制及并发症的预防,随机选取同期非合并糖尿病的妇科疾病手术患者36例作对照。结果:36例患者与对照组相比,术后切口感染及下肢静脉血栓的发生率等无统计学差异(P>0.05)。结论:糖尿病患者术前积极控制血糖,合并糖尿病非妇科手术禁忌症,控制血糖在正常范围或空腹血糖轻度升高不超过8 mmol/L,术后禁食期间要给予支持治疗并补钾,促进切口愈合,同时加强易感染部位的护理可确保糖尿病患者的妇科手术的安全进行。
Objective： To explore the surgical efficacy of patients with gynecological diseases combined with gestational diabetes mellitus （GDM） . Methods： The control of blood glucose and prevention of complications in 36 cases of gynecological diseases combined with GDM were analyzed retrospectively, 36 gynecological patients without GDM in the same time were selected as control group. Results： There was no significant difference in incidences of postoperative wound infection and deep vein thrombosis between the two groups （P 〉 0. 05 ） . Conclusion： GDM is not a contraindication of gynecological surgery, active control of preoperative blood glucose in normal range or slightly elevated fasting blood glucose （ less than 8 mmol/L）, postoperative fasting, supportive treatment and kalium supplement, promoting wound healing and strengthening nurse of parts liable to infection may ensure the safety of gynecological surgery.
出处
《中国妇幼保健》
CAS
北大核心
2010年第6期763-764,共2页
Maternal and Child Health Care of China
关键词
妇科手术
糖尿病
治疗
Gynecological surgery
Diabetes
Treatment
