赵雪峰

[摘要] 目的 探究糖尿病手术患者麻醉方式对术后感染、血流动力学、血糖的影响。 方法 选取该院2018年2月—2019年1月收治的86例2型糖尿病患者进行研究。采用信封法分组（n=43），对照组采用全麻方式，观察组采用全麻联合硬外阻滞麻醉方式，对比麻醉影响。 结果 观察组（4.7%）术后感染率低于对照组（18.6%），差异有统计学意义（P<0.05）;麻醉后，观察组的血流动力学水平与对照组比较更稳定;两组血糖水平对比，差异无统计学意义（P>0.05）。结论 糖尿病手术患者选择全麻联合硬外阻滞麻醉的方式应用效果更为显著，具有安全性。

[关键词] 糖尿病手术;麻醉方式;血流动力学;术后感染率

[中图分类号] R587.1          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0019-03

Effects of Anesthesia Methods on Postoperative Infections， Hemodynamics and Blood Glucose in Patients with Diabetic Surgery

ZHAO Xue-feng

Department of Anesthesiology， Staff General Hospital， Liaoyuan Mining Group Co.， Ltd.， Liaoyuan， Jilin Province， 136200 China

[Abstract] Objective To investigate the effects of anesthesia methods on postoperative infection， hemodynamics and blood glucose in patients with diabetes mellitus. Methods 86 patients with type 2 diabetes treated in the hospital from February 2018 to January 2019 were selected for research. Envelope method was used for grouping（n=43）. The control group was under general anesthesia. The observation group was under general anesthesia combined with hard external block anesthesia. The effects of anesthesia were compared. Results The infection rate in the observation group（4.7%） was lower than that in the control group（18.6%），and the difference was statistically significant（P<0.05）. After anesthesia， the hemodynamic level in the observation group was more stable than the control group. There was no statistically significant difference in blood glucose level between the two groups （P>0.05）. Conclusion The general anesthesia combined with epidural anesthesia is more effective and safer for diabetic patients.

[Key words] Diabetic surgery; Anesthesia; Hemodynamics; Postoperative infection rate

糖尿病多發于中老年群体，是以高血糖为主要特征的慢性基础性代谢疾病，在人体的胰岛素分泌出现缺陷或生物作用受损时，即可造成高血糖症状[1]。临床多表现为多饮、多尿、体重明显减轻等，若不及时干预，可诱发机体多种疾病。人体在长期高血糖状态下，正常机体组织均会逐渐受到损害，以肾、血管、心脏、神经为主，缓慢体现出功能障碍等。现阶段，临床可采用胃转流手术对2型糖尿病患者进行治疗，达到病情逆转的目的[2]。手术前，患者需要接受麻醉处理，但在高血糖状态下，糖尿病患者的血流动力学与正常值相比存在差异，经麻醉后，麻醉药物或可对患者的血糖状态、血流动力学等产生影响。此外，高血糖环境易造成细菌繁殖，因此，该次以该院于2018年2月—2019年1月收治的86例2型糖尿病患者为研究对象，探究不同麻醉方式下糖尿病患者术后感染、血流动力学、血糖状态的差异，现报道如下。……