Objective To discuss the effect of insulin pump in oral and maxillofacial surgery of diabetic patients dur-ing perioperative period.Methods The clinical data of 60 patients with diabetes who received oral and maxillofacial surgery in the Department of Stomatology of Weifang Endocrinology and Metabolic Disease Hospital from January to December 2022 were retrospectively selected.30 patients receiving subcutaneous insulin injection were selected as control group,and 50 patients receiving continuous insulin injection with insulin pump were selected as observation group.The β function index,blood glucose control effect and perioperative complication rate were compared between the two groups.Results Before surgery,there was no significant difference between two groups in islet β function in-dexes(all P>0.05).Postoperative review showed that all islet β function indexes of the observation group were better than those in control group,and the differences were statistically significant(all P<0.05).Blood glucose index and gly-cosylated hemoglobin level in observation group were lower than those in control group,and the differences were statis-tically significant(all P<0.05).The total incidence of perioperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The incidence of wound infection and complications is higher in patients with diabetes combined with oral and maxillofacial surgery.The main factors include adverse reactions after anesthesia and surgical trauma.In order to control blood glucose sta-bly,continuous subcutaneous injection of insulin pump should be adopted to reduce the risk of postoperative complica-tions and lay a foundation for the healthy prognosis of patients.
Diabetes mellitusOral and maxillofacial surgeryPerioperative riskInsulin pump
NETL
NSTL
维普
万方数据
