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目的探讨合并糖尿病的妇科手术患者围手术期的处理方法。方法回顾分析50例糖尿病患者施行中型或大型妇科手术的临床资料。结果术前行降糖治疗,使术前、术中、术后血糖浓度控制在7.0～8.6 mmol/L(120～150 mg/dL)较安全。伤口Ⅰ期愈合47例,愈合率为94.0%;伤口感染Ⅱ期愈合3例,愈合率为6.0%;50例糖尿病患者全部安全度过围手术期。结论糖尿病患者术前、术后积极治疗,合理使用胰岛素,以保持围手术期血糖浓度的稳定,同时合理使用抗生素,选择合理的手术时间及麻醉方式是手术成功的关键。
Objective To investigate the perioperative management of patients with gynecological surgery complicated with diabetes mellitus. Methods A retrospective analysis of 50 cases of diabetic patients with medium or large gynecological surgery clinical data. Results Preoperative hypoglycemic treatment, preoperative, intraoperative and postoperative blood glucose levels controlled at 7.0 ~ 8.6 mmol / L (120 ~ 150 mg / dL) is more safe. The wounds were healed in 47 cases in the first stage, the healing rate was 94.0%. The wound healing in 3 cases was cured in 3 cases, the healing rate was 6.0%. All 50 cases of diabetes mellitus were perioperatively safe. Conclusions The preoperative and postoperative positive treatment of diabetes mellitus, rational use of insulin, in order to maintain the stability of perioperative blood glucose levels, while rational use of antibiotics, choose a reasonable operation time and anesthesia is the key to successful operation.