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目的探讨妇科肿瘤合并糖尿病围手期胰岛素应用。方法回顾性分析了17例妇科肿瘤伴糖尿病患者的手术治疗。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,术中监测血糖(1次/2h),术后禁饮食期间,每日补充葡萄糖150g,并按糖:胰岛素4～5:1的比例给予胰岛素治疗,以防止酮症中毒。结果全组治愈17例,其中2例出现不同程度的感染念珠菌阴道炎。结论对于妇科肿瘤伴糖尿病患者,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。另外需应用有效的抗生素预防术后感染。
Objective To investigate the application of perioperative insulin in gynecologic oncology combined with diabetes mellitus. Methods Retrospective analysis of 17 cases of gynecologic oncology patients with diabetes surgery. Will focus on the treatment of diabetes monitoring and control, preoperative diet control, early, middle and evening insulin subcutaneous injection, intraoperative monitoring of blood glucose (1 / 2h), after the ban during the diet, daily glucose replacement 150g, and according to sugar: insulin ratio of 4 to 5: 1 given insulin therapy to prevent ketosis. Results The whole group was cured in 17 cases, of which 2 cases showed different degrees of Candida vaginitis. Conclusion For patients with gynecologic oncology and diabetes mellitus, the control of blood glucose is 5.6 ~ 11.0mmol / L, and the control of urinary glucose at (±) operation is safer. In addition, the need for effective antibiotics to prevent postoperative infection.