糖尿病血糖控制对普外科手术的影响

目的 了解糖尿病血糖控制对普外科手术的影响.方法 分析126例糖尿病患者普外科手术前糖化血红蛋白(HbA1c)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 糖尿病患者术前HbA1c＞7.5%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高于正常对照组和术前HbA1c＜6.5%组.糖尿病患者中HbA1c＜6.5%组的胆囊结石、甲状腺腺瘤的手术费用明显低于HbA1c＞7.5%组的同类手术患者.结论 对于择期及限期手术的糖尿病患者,应加强手术前一段时间的血糖控制,使HbA1c手术时能＜6.5%,是保证手术效果和防止手术后并发症以及降低医疗费用的关键.

The effect of recent blood glucose control level of diabetes on prognosis in the patients with general surgery

Objective To investigate the effect of recent blood glucose control level of diabetes on prognosis in the patients with general surgery. Methods To analyze the clinical data of 126 diabetic patients with general surgery and the relatiouship among the average hospitalized length,medical cost and the complications of sugery due to glycosylated hemoglobin. Results Comparing with controls, diabetic patients HbA1c＞7.5% had more days longer than those HbA1c＜6.5 % at the time of average in-hospital duration, stitch removing, food-taking and using antibiotics after the operation,Diabetics HbA1c＜6.5 % with cholecystolithiasis, thyroid adenoma had lower surgery cost than those HbA1c＞7.5 %. Conclusion To intensify the control of blood glucose of the patients of limited or selective general surgery as to lower glycosylated hemoglobin＜6.5 % is very important for improving prognosis, and decreasing the complications and medical cost of the operation.