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目的:探讨老年糖尿病患者经尿道前列腺切除术(TURP)围术期血糖控制方法和对手术的影响。方法:回顾性分析我院36例糖尿病患者TURP围术期血糖调控情况。结果:36例患者入院时空腹血糖(12.6±1.8)mmol/L,经术前用胰岛素控制空腹血糖至6.0～7.8 mmol/L后接受TURP,术中及术后继续使用胰岛素控制血糖至基本正常水平。本组术中血糖7.2～13.8 mmol/L。35例未发生感染等明显并发症,仅1例术后出现感染,经选择有效的抗生素治疗后,治愈出院。结论:老年糖尿病患者经正确的围术期处理,将血糖控制至基本正常水平,可耐受TURP,并可取得满意效果。
Objective: To investigate the perioperative glycemic control and its effect on the surgical treatment of senile diabetic patients undergoing transurethral resection of the prostate (TURP). Methods: A retrospective analysis of 36 cases of diabetic patients TURP perioperative blood glucose control. Results: The fasting plasma glucose (12.6 ± 1.8) mmol / L at admission was 36 patients receiving TURP after fasting blood glucose of 6.0-7.8 mmol / L was controlled by preoperative insulin. The insulin was used to control the blood sugar to be basically normal during and after operation Level. The intraoperative blood glucose 7.2 ~ 13.8 mmol / L. 35 cases without obvious complications such as infection, only 1 case of postoperative infection, the choice of effective antibiotics, cured and discharged. Conclusion: The correct perioperative treatment of elderly patients with diabetes mellitus, the blood glucose control to the basic normal level, can tolerate TURP, and can achieve satisfactory results.