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目的 探讨临床路径联合全院血糖管理模式对糖尿病手术患者预后质量的影响.方法 将240例2型糖尿病患者采用随机数字表法分为观察组与对照组,每组120例.两组均给予血糖管控临床路径管控患者围术期血糖水平,观察组联合全院血糖管理模式管控围术期血糖,比较两组患者围术期血糖控制情况,术后不同时间凝血指标水平及炎症因子水平,比较两组患者术中出血量、切口愈合时间、术后感染率.结果 手术中、手术后及手术后3 d观察组血糖水平均显著低于麻醉前,且显著低于对照组(P＜0.01);手术后3 d对照组血糖水平显著低于麻醉前(P＜0.01).手术后6 h及24 h两组凝血指标水平及炎症因子水平均显著高于手术前(P＜0.05或0.01),观察组显著低于对照组(P＜0.05或0.01).观察组术中出血量显著少于对照组(P＜0.01),切口愈合时间显著短于对照组(P＜0.01),术后感染率显著低于对照组(P＜0.01).结论 临床路径联合全院血糖管理模式可有效控制糖尿病骨科手术患者的血糖水平,降低炎症指标水平及凝血指标水平,减少术中出血量及伤口愈合时间,降低感染率.“,” Objective To investigate the effect of clinical pathway combined with whole hospital blood glucose management mode on postoperative prognosis and quality of diabetic patients. Methods 240 cases with type 2 diabetes were randomly divided into observation group and control group,120 cases in each group. The two groups were all given clinical pathway to control the perioperative blood glucose level,the observation group was given clinical pathway combined with whole hospital blood glucose management mode, compare the control of perioperative blood glucose, coagulation indicator and inflammatory factor levels after operation, peroperative bleeding, wound healing time and postoperative infection rate between the two groups. Results The blood glucose levels in the observation group during operation,after operation and at 3d after operation were significantly lower than those before anesthesia and those in the control group(P＜0.01),at 3d after operation,the blood glucose level in the control group was significantly lower than that before anesthesia(P＜0.01). At 6 h,24 h after operation, the coagulation indicator and inflammatory factor levels of the two groups were significantly higher than those before operation(P＜0.05 or 0.01), the observation group was significantly lower than the control group(P＜0. 05 or 0.01). The peroperative bleeding in the observation group was significantly less than that in the control group(P＜0.01), wound healing time was significantly shorter than that in the control group(P＜0.01),postoperative infection rate was significantly lower than that in the control group(P ＜0.01). Conclusion The clinical pathway combined with whole hospital blood glucose management mode can effectively control blood glucose of diabetic patients, lower the coagulation indicator and inflammatory factor levels,reduce the peroperative bleeding, wound healing time and infection rate.