摘要
目的 探讨老年糖尿病患者骨科手术围手术期血糖的控制和对手术的影响。 方法 回顾性分析 3 0例骨疾病并存糖尿病患者接受骨科手术治疗围手术期的血糖调控情况。 结果 3 0例患者入院时空腹血糖 ( 1 3 .0± 1 .3 ) mmol/L,经术前用胰岛素控制血糖至 ( 7.0± 1 .0 ) mmol/L后 ,分别接受全髋关节置换、股骨头置换、颈椎后路双开门、颈椎前路椎间盘摘除、腰椎 Steeff钢板内固定、腰椎滑脱 CD及 RF脊柱内固定系统复位固定等复杂骨科手术治疗 ,术中及术后继续用胰岛素控制血糖至基本正常水平 ,本组术后血糖为 ( 8.0± 1 .1 ) mmol/L。 3 0例中 ,仅 1例 ( 3 .3 % )伤口愈合不良 ;与同期接受骨科手术的非糖尿病患者 4 0 3 9例中 3 3例 ( 0 .8% )伤口愈合不良比较 ,二者差异无显著性 ,未发生其他并发症。术后患者症状和体征均明显改善 ,肢体功能恢复良好。 结论 老年糖尿病患者经正确的围手术期处理 ,将血糖控制至基本正常水平 ,可耐受复杂的骨科手术。
Objective To evaluate the perioperative blood glucose control on orthopaedic surgery results in the old patients with diabetes mellitus. Methods The blood glucose control during perioperative period in 30 patients with diabetes mellitus who had accepted the orthopaedic surgery were analysed retrospectively . Results The average fasting blood glucose level of 30 cases on admission was (13 0± 1 3)mmol/L and was controlled to (7 0±1 0)mmol/L with insulin before surgery.Insulin was kept on being used during operation and postoperatively. Delayed wound healing occurred only in one of the 30 cases. No other complications occurred. There was no significant difference between patients with and without diabetes mellitus ( P >0 05) in complications. Conclusions The old patients with diabetes mellitus can accept complicated orthopaedic surgery after controlling the blood glucose level with insulin in perioperatively.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2000年第1期26-28,共3页
Chinese Journal of Geriatrics
关键词
糖尿病
骨科手术
围手术期处理
老年人
Bone Diseases/SU
Intraoperative period
Diabetes mellitus
