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目的探讨合并糖尿病的眼科手术患者围手术期处理方法。方法回顾性分析176例(210眼)眼科手术患者合并糖尿病的临床资料及其围手术期控制血糖的方法。结果本组176例(210眼)伤口Ⅰ期愈合174例(208眼),伤口Ⅱ期愈合眼外伤组1例,白内障组严重感染1例,最后导致化脓性眼内炎,而行眼内容摘除。人工晶体前膜9例(9眼),经药物治疗,前膜吸收。术后1周视力≥0.5者达70%。结论①对无糖尿病史的眼科手术患者术前空腹血糖为5.6～6.9mmol/L时,应检查餐后2小时或随机血糖,以便及时发现糖尿病,及时治疗。②眼科手术患者合并糖尿病时,围手术期控制血糖稳定是手术成功的关键因素之一。
Objective To investigate the perioperative management of ophthalmic surgery patients with diabetes mellitus. Methods A retrospective analysis of 176 cases (210 eyes) ophthalmic surgery patients with diabetes mellitus clinical data and methods of perioperative control of blood glucose. Results A total of 176 cases (210 eyes) of 174 cases (208 eyes) were healed in stage I, one case of wound healing in the second stage of wounds and one case of severe infection in the cataract group, which finally led to suppurative endophthalmitis. However, . Nine cases of anterior lens (9 eyes) were treated with drugs and absorbed by the anterior membrane. After 1 week visual acuity ≥ 0.5 were up to 70%. Conclusion ①In ophthalmic surgery without diabetes mellitus, preoperative fasting blood glucose of 5.6 ~ 6.9mmol / L should be checked 2 hours postprandial or random blood glucose in order to timely find diabetes and timely treatment. ② ophthalmic surgery patients with diabetes, perioperative control of blood glucose is one of the key factors in the success of surgery.