摘要
目的 了解糖尿病对腹部外科手术的影响。 方法 分析 6 8例糖尿病患者腹部外科手术前后血糖水平与平均住院时间、平均术后拆线时间、使用抗生素时间、手术后并发症以及住院费用等关系。 结果 与对照组相比 ,糖尿病腹部外科手术组术前血糖越高 ,围手术期越长 ;手术并发症与血糖水平有关 ;糖尿病组平均住院日、平均术后拆线时间、抗生素使用时间以及手术并发症均明显高于对照组 [(2 1.7± 1.4 ) d比 (8.5± 0 .2 ) d,(8.8± 0 .2 ) d比 (7.0± 0 .1) d,(7.9± 0 .4 ) d比 (3.5± 0 .1) d和 15 %比 4 %(P<0 .0 1,<0 .0 1,<0 .0 5 ,<0 .0 5 ) ]。糖尿病患者中 ,术前空腹血糖低于 8mm ol/ L 组平均住院时间、平均术后拆线时间、抗生素使用时间及手术后并发症均明显低于空腹血糖高于 8mmol/ L 组 ;前者的手术并发症为 0、后者为 18%。糖尿病患者胆囊炎 /胆结石、急性阑尾炎的手术费用明显高于非糖尿病患者的同类手术患者 [(5 74 9± 4 179)元、(2 890± 2 6 6 4 )元比 (3319± 16 84 )元、(10 39± 10 98)元 (P=0 .0 0 3,P=0 .0 0 9) ]。 结论 对于行腹部手术的糖尿病患者 ,加强血糖控制 ,使空腹血糖控制在 8.0 m mol/ L 以下 。
Objective To investigate the effect of diabetes on the prognosis, complications and medical cost in the patients with abdominal surgery. Methods To analyze the clinical data of 68 diabetic patients with abdominal surgery and the relationship among the average hospitalized length, medical cost and the complications of surgery due to hyperglycemia. Results Comparing with controls, diabetic patients had 13, 2, 3, and 3 days longer at the time of in hospital duration, stitch removing, food taking and using antibiotics after the operation, with significantly higher complications and higher in hospital medical cost. Diabetics with fasting blood glucose level less than 8 mmol/L before operation had no complications of surgery and much lower medical cost, and diabetics with higher blood glucose level had more complications (17.5%). Conclusion To intensify monitoring and control of blood glucose in the diabetic patients with abdominal surgery is very important for improving prognosis, and decreasing the complications and medical cost of the operation.
出处
《中国糖尿病杂志》
CAS
CSCD
2002年第5期268-271,共4页
Chinese Journal of Diabetes
关键词
糖尿病
腹部手术
医疗费用
Diabetes
Abdominal surgery
Medical cost
