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目的探讨妇科疾病伴糖尿病患者围手术期处理方法。方法回顾性分析了56例妇科疾病伴糖尿痛患者的手术治疗,将治疗的重点放在对糖尿病的监测和控制上,术前饮食控制,早、中、晚餐前胰岛素皮下注射,术中监洲血糖,术后禁食水期间,每日补充葡萄糖150g,并按糖:胰岛素为4～5:1的比例给予胰岛素治疗,以防止酮症酸中毒。结果全组治愈56例,其中6例出现不同程度的念珠菌阴道炎。结论对于妇科疾病伴糖尿病的患者,将血糖控制在5.6～11.0mmol/L,尿糖控制在(±)时实施手术较为安全。另外应用有效的抗生素预防术后感染也是保证手术成功的重要因素之一。
Objective To investigate the perioperative management of gynecological diseases with diabetes mellitus. Methods Retrospective analysis of 56 cases of gynecological diseases with diabetes mellitus in patients with surgical treatment, the treatment will focus on the monitoring and control of diabetes, preoperative diet control, early, middle and evening insulin subcutaneous injection, intraoperative monitoring Chau Blood sugar, fasting water after surgery, glucose 150g daily replenishment, and sugar: insulin ratio of 4 to 5: 1 to give insulin treatment to prevent ketoacidosis. Results The whole group cured 56 cases, of which 6 cases of Candida vaginitis to varying degrees. Conclusion For patients with gynecological diseases and diabetes mellitus, the blood sugar should be controlled at 5.6-11.0mmol / L, and it is safer to control the urine sugar at (±). In addition the use of effective antibiotics to prevent postoperative infection is also an important factor to ensure the success of surgery.