论文部分内容阅读
目的:研究与探讨糖尿病患者外科手术麻醉的安全性和有效性。方法:糖尿病外科手术患者262例,采用腰-硬联合麻醉146例,全身麻醉116例。结果:表明腰-硬联合麻醉组在术中血糖均值水平、胰岛素的平均使用剂量均少于全身麻醉组,有统计学意义(P<0.05)。腰-硬联合麻醉组麻醉后空腹血糖、餐后血糖、糖化血红蛋白水平增高幅度均小于全身麻醉组,(P<0.05)。通过用Logistic回归方程分析影响糖尿病患者麻醉效果的因素除性别无显著相关性,年龄、糖尿病病程、吸烟、饮酒、体重指数均与麻醉效果有高度相关性(正相关)。结论:糖尿病手术患者采用腰-硬联合麻醉效果较好。
Objective: To study and explore the safety and efficacy of surgical anesthesia in diabetic patients. Methods: A total of 262 patients undergoing diabetic surgeries were enrolled in this study. One hundred and sixty-six patients underwent combined spinal-epidural anesthesia and 116 underwent general anesthesia. Results: The average blood glucose level and mean insulin dosage in the combined spinal-epidural anesthesia group were less than those in the general anesthesia group (P <0.05). The increase of fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin in the combined spinal-epicenter anesthesia group were less than those in the general anesthesia group (P <0.05). Logistic regression equation was used to analyze the influencing factors of anesthesia in patients with diabetes except sex, age, duration of diabetes, smoking, alcohol consumption and body mass index were highly correlated with the effects of anesthesia (positive correlation). Conclusion: The patients with diabetes mellitus have good effect of using waist-hard anesthesia.