陈燕,范丽娟.妇科非糖尿病肿瘤患者围术期血糖异常调查分析[J].上海护理,2019,19(3):
妇科非糖尿病肿瘤患者围术期血糖异常调查分析
Investigation of perioperative blood glucose abnormality in gynecological non - diabetic tumor patients
DOI:
中文关键词:  妇科肿瘤  非糖尿病患者  围术期  应激性高血糖
英文关键词:gynecological neoplasms  non-diabetic patients  perioperative period  stress hyperglycemia
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作者单位E-mail
陈燕* 上海交通大学医学院附属第九人民医院 上海 201999 syfck0000@163.com 
范丽娟 上海交通大学医学院附属第九人民医院 上海 201999  
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中文摘要:
      目的 探讨妇科非糖尿病肿瘤患者围术期血糖异常的发生情况及影响因素。方法 选取非糖尿病妇科肿瘤患者242例,收集患者的一般资料,测量围术期9个时间段的指尖毛细血管血糖,调查围术期血糖异常的发生情况,同时采用Zung’s 焦虑自评量表分析患者的焦虑状况;并对相关风险因素进行单因素分析以及多因素回归分析。结果 妇科非糖尿病肿瘤患者围术期出现以应激性高血糖为主的血糖异常,其发生率为22.7%,Logistic回归分析显示,手术时间、禁食、禁饮时间、肿瘤性质及年龄是妇科非糖尿病肿瘤患者围术期血糖异常的影响因素。结论 医护人员应充分关注妇科非糖尿病肿瘤患者围术期血糖变化,特别是年龄>60岁的妇科恶性肿瘤患者。在确保麻醉安全的前提下尽量缩短术前禁食禁饮时间,最大限度地减轻接台手术病人的不适。建议制定妇科肿瘤病人围术期血糖管理路径,对患者进行至少2d的术后血糖监测并给予及时调控,以稳定患者整体血糖情况,降低血糖对患者预后的影响。
英文摘要:
      Objective To investigate the incidence and influencing factors of perioperative glucose abnormality in gynecological non-diabetic patients. Methods 242 patients with non-diabetic gynecological tumors were selected. The general data were collected and the blood glucose of the fingertip was measured at 9 time intervals. The incidence of abnormal glucose in the perioperative period was investigated, at the same time, the anxiety in patients was analyzed with Zung’s anxiety self-rating scale; And the univariate analysis and multivariate regression analysis were carried out. Result Gynecological non-diabetic patients with perioperative period of stress-prone hyperglycemia-based abnormal glucose,the incidence was 22.7%. Logistic regression analysis showed,duration of operation, duration of fasting, banning time, tumor age and age were the influencing factors of perioperative blood glucose abnormality in gynecological non-diabetic patients. Conclusion Health care workers should pay full attention to gynecological non-diabetic patients with perioperative changes in blood glucose, especially in the age of> 60 years old gynecological malignancies. Under the premise of ensuring the safety of anesthesia, minimize the preoperative fasting time to drink, minimize the discomfort of patients with taiwan surgery as far as possible. It is recommended to develop perioperative blood glucose management pathways in gynecological cancer patients, the patient at least 2d postoperative blood glucose monitoring and timely regulation to stabilize the overall blood glucose in patients and lower the influence of blood sugar on the prognosis of patients.
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