糖尿病手术患者麻醉方式对术后感染与血流动力学及血糖的影响

发布时间：2018-03-07 18:41

本文选题：麻醉方式　切入点：伴糖尿病　出处：《中华医院感染学杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的探讨不同麻醉方式对伴糖尿病手术患者术后感染、血流动力学及血糖指标的影响效果。方法本研究选取2014年12月-2015年12月医院收治的伴糖尿病患者488例为研究对象,根据患者手术麻醉方式的不同将其分为研究组和对照组,每组各244例,研究组给予Jorg Bubeck法,对照组给予普通常规的硬膜外法,比较两组患者术后感染率及手术进行过程中不同时刻血糖水平和血流动力学指标。结果 488例患者中发生术后感染62例,感染率为12.70%;术后12、24、48、72h时,研究组患者的感染率分别为0.82%、1.64%、2.46%和3.28%,均显著低于对照组的7.38%、11.07%、15.57%和22.13%;两组患者不同时刻血糖指标比较差异无统计学意义,研究组患者的血流动力学指标更加稳定,与对照组比较差异有统计学意义。结论伴糖尿病患者术后感染情况较严重,Jorg Bubeck法硬膜外麻醉可降低患者术后感染率,保持患者手术过程中的血流动力学稳定。
[Abstract]:Objective to investigate the effect of different anesthetic methods on postoperative infection, hemodynamics and blood glucose in patients with diabetes mellitus. Methods 488 patients with diabetes mellitus were selected from December 2014 to December 2015 in our hospital. The patients were divided into two groups according to the different anesthetic methods: the study group and the control group. The study group was given Jorg Bubeck method, and the control group was given the general routine epidural method. The postoperative infection rate and blood glucose levels and hemodynamic indexes at different times during the operation were compared between the two groups. Results 62 of 488 patients had postoperative infection, the infection rate was 12.70. The infection rate of the patients in the study group was 0.82% 1.64% and 3.28%, respectively, which was significantly lower than that in the control group (7.38%, 11.07%, 15.57% and 22.13%). There was no significant difference in blood glucose index between the two groups at different times, and the hemodynamic indexes of the patients in the study group were more stable. Conclusion compared with the control group, epidural anesthesia with Jorg Bubeck method can reduce the postoperative infection rate and maintain the hemodynamic stability in the patients with diabetes.
【作者单位】：郑州大学附属郑州中心医院麻醉科;
【分类号】：R614

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