摘要
目的:探讨糖尿病患者在外科手术中麻醉的有效性和安全性。方法:回顾分析我院收治的60例糖尿病外科手术患者,主要采用两种麻醉方式:全麻以及硬膜外麻醉,患者例数分别为28例与32例。结果:手术过程中,患者的血糖水平有不同程度的增高,通过使用胰岛素,将其血糖控制在10-12mmol/L之间。手术过程顺利,未出现高渗性非酮症性昏迷、糖尿病酮症酸中毒以及低血糖等并发症。结论:硬膜外麻醉对于糖尿病患者手术时血糖的影响低于全麻。
Objective：To investigate the surgical operation in patients with diabetes mellitus in anesthesia is effective and safety.Methods：retrospective analysis of hospital treated 60 cases of diabetic surgical operation patients,anesthetic way mainly adopts two：general anesthesia and epidural anesthesia,28 cases and 32 cases respectively.Results：during the operation,blood glucose levels are increased in different degrees,through the use of insulin,blood sugar control in between 10-12mmol/L,operation process,not hyperosmolar nonketotic coma,hypoglycemia and diabetic ketoacidosis and complications.Conclusions：epidural anesthesia for patients with diabetes blood glucose were lower than the effects of general anesthesia operation.
出处
《求医问药（下半月刊）》
2012年第8期287-288,共2页
Seek Medical and Ask The Medicine
关键词
外科手术
糖尿病
麻醉
diabetes mellitus
surgical operation
anesthesia
