阻塞性睡眠呼吸暂停低通气综合征合并高血糖患者的围手术期血糖管理

doi:10.6040/j.issn.1673-3770.0.2018.038

摘要/Abstract

摘要： 目的探讨血糖管理在控制阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并高血糖患者围手术期并发症的作用和效果。方法选取进行手术治疗的OSAHS合并高血糖患者30例作为研究对象,为所有患者提供全面的术前心理护理、控制血糖、活动与饮食及术后并发症观察、血糖监测、疼痛控制等血糖管理,观察患者手术并发症情况。结果 30例OSAHS合并高血糖患者围手术期血糖控制良好,2例出现术后并发症包括出血1例、低血糖1例,给予及时治疗处理。30例均治愈出院,无糖尿病酮症酸中毒发生。结论围手术期血糖管理可有效控制OSAHS合并高血糖患者手术并发症,保证治愈率。

关键词: 睡眠呼吸暂停, 高血糖, 血糖管理, 围手术期, 阻塞性

Abstract: Objective To explore the effect of perioperative blood glucose management on controlling complications in patients with obstructive sleep apnea-hypopnea syndrome(OSAHS)and hyperglycemia in the perioperative period. Methods 30 patients with OSAHS and hyperglycemia who were treated in our hospital were selected as the study subjects. All patients underwent comprehensive preoperative psychological care; management of blood glucose levels, activity, and diet. The patients were observed for postoperative complications, blood glucose levels, pain control, other blood glucose management factors, and surgical complications. Results Perioperative blood glucose was well controlled in 30 patients. Two patients exhibited postoperative complications, including 1 patient with secondary hemorrhage and 1 patient with hypoglycemia, and were fully recovered with timely and effective treatment. No patients had diabetic ketoacidosis. Conclusion Perioperative blood glucose management can effectively improve the curative rate and control the postoperative complication rate in patients with OSAHS and hyperglycemia.

Key words: Perioperative period, Obstructive sleep apnea-hypopnea syndrome, Hyperglycemia, Blood glucose management

中图分类号:

R766.7

吕旭琴,万文锦. 阻塞性睡眠呼吸暂停低通气综合征合并高血糖患者的围手术期血糖管理[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 100-104.

LÜ Xuqin, WAN Wenjin. Perioperative blood glucose management in patients with obstructive sleep apnea hypopnea syndrome and hyperglycemia[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 100-104.

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