余书蓉

[摘要] 目的 分析乳腺癌合并糖尿病患者血糖控制对术后切口的影响。 方法 选取该院2015年3月—2016年9月收治的66例乳腺癌合并糖尿病患者作为此次研究的分析对象，并按随机分配数字表达法将其分为研究组与对照组。其中，对照组的总例数为33例，给予该组患者格列美脲与阿尔波糖进行治疗；研究组的总例数为33例，给予该组患者在对照组的基础上采用二甲双胍进行联合治疗，观察并比较两组的切口愈合情况、糖化血红蛋白值及空腹血糖值。结果 研究组于治疗后的糖化血红蛋白值、空腹血糖比对照组优，对照组术后切口的愈合时间长于研究组，差异有统计学意义（P<0.05）。结论 对乳腺癌合并糖尿病患者进行血糖控制，能促使术后切口的愈合时间得到有效的缩短，建议临床应用与推广。

[关键词] 血糖控制；乳腺癌合并糖尿病；术后切口

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）05（a）-0009-02

Effect of Blood Glucose Control on Postoperative Incision in Patients with Breast Cancer Combined with Diabetes Mellitus

YU Shu-rong

Department of Breast Surgery， Deyang City Peoples Hospital， Deyang， Sichuan Province， 618000 China

[Abstract] Objective This paper tries to analyze the effect of blood glucose control on postoperative incision in patients with breast cancer combined with diabetes mellitus. Methods 66 cases of diabetic patients from March 2015 to September 2016 with breast cancer in this hospital were selected and divided into the research group and the control group by random distribution of number. 33 cases in the control group adopted glimepiride and Acarbose capsules； 33 cases in the experimental group added metformin on the basis of the control group， the wound healing condition， glycosylated hemoglobin value and the value of fasting blood glucose of the two groups were observed and compared. Results The levels of glycosylated hemoglobin and fasting blood glucose in the research group were better than those in the control group， and the healing time of the incision in the control group was longer than that of the research group， and the difference was statistically significant （P<0.05）. Conclusion The blood glucose control of breast cancer patients with diabetes mellitus can promote the shortening of the healing time of postoperative incision， and it is worth clinical application and promotion.

[Key words] Blood glucose control； Breast cancer with diabetes； Postoperative incision

乳腺癌是一種消耗性病症，患者在患病后，需及时补充营养物质以满足机体的需求，尤其是刚做完手术的患者，术后切口的愈合更需要补充营养物质[1]。但乳腺癌合并糖尿病患者在术后却存在矛盾，由于糖尿病患者需避免过多地摄入营养物质，以预防患者的血糖过高。同时，乳腺癌手术会促使患者产生应激反应，导致患者的血糖不断升高[2]。当前，如何合理地控制血糖及补充营养物质是相关研究者重点讨论的课题。因此，为了探讨血糖控制对乳腺癌合并糖尿病患者术后切口的影响，该次研究选取了该院2015年3月—2016年9月收治的乳腺癌合并糖尿病患者（66例）作为该次观察分析的对象，同时还对该疾病患者的临床资料进行了深入分析，现报道如下。……