全院血糖管理在合并2型糖尿病的胆石症患者围术期的临床应用效果评价
Evaluation of the clinical relevant effect of hospital-wide blood glucose management in perioperative cholelithiasis patients with type 2 diabetes
杨杰 1刘师伟 1豆婉荣 2蒋乐 3杨倩倩 2段瑞雪 1张晨霞 1郑洁1
作者信息
- 1. 山西医科大学第三医院山西白求恩医院山西医学科学院同济山西医院内分泌科,太原 030032
- 2. 山西医科大学公共卫生学院,太原 030000
- 3. 内蒙古自治区人民医院内分泌科,呼和浩特 010000
- 折叠
摘要
目的 使用全院血糖管理对合并2型糖尿病的胆石症患者围术期进行管理,进而对其临床应用效果进行评价.方法 选取2022年9月到2023年10月就诊于山西白求恩医院的2型糖尿病合并胆石症患者为研究对象,共纳入90例患者.根据血糖管理方式的不同分为全院血糖管理组和常规治疗组,并比较两组术前血糖控制情况、住院时间、术后并发症以及住院费用之间的差异.结果 根据观察指标的中位数(四分位数)比较,全院血糖管理组术前葡萄糖目标范围内时间达标率更高[72.00(70.21,82.90)％比 64.80(61.55,70.50)％,P＜0.001)],平均血糖水平更低[9.00(8.55,10.44)mmol/L 比 11.50(10.50,12.50)mmol/L,P＜0.001],住院日更短[8.00(7.00,13.00)d比10.00(8.00,12.00)d,P＜0.05],术后并发症发生率更低(11.11％比33.33％,P＜0.05),住院费用更低[16 535.34(14 271.44,29 569.23)元比 18 633.85(17 482.66,22 855.02)元,P＜0.05].结论 以胰岛素泵为基础的全院血糖管理在合并2型糖尿病的胆石症患者围术期临床应用中具有积极效果,为如何缩短平均住院日、减少住院费用、降低术后并发症提供了策略.
Abstract
Objective To evaluate the clinical relevant effect of hospital-wide blood glucose management in perioperative cholelithiasis patients with type 2 diabetes.Methods The subjects of the study were patients with type 2 diabetes mellitus complicated with cholelithiasis who were treated at the Baiqiu'en Hospital in Shanxi from September 2022 to October 2023.The patients were divided into hospital-wide blood sugar management group and conventional treatment group,according to different blood glucose management they received.The differences in preoperative blood glucose control,length of stay,postoperative complications,and hospitalization expenses between the two groups were compared.Results Compare based on the median(quartiles)of the observed indicators,patients with cholelithiasis who underwent hospital-wide blood glucose management based on insulin pumps had a higher proportion of time in range[72.00(70.21,82.90)％vs.64.80(61.55,70.50)％,P＜0.001)],lower average blood glucose level[9.00(8.55,10.44)mmol/L vs.11.50(10.50,12.50)mmol/L,P＜0.001],and shorter hospital stay[8.00(7.00,13.00)days vs.10.00(8.00,12.00))days,P＜0.05].Moreover,the incidence of postoperative complications was lower[5(11.11)％vs.15(33.33)％,P＜0.05],and hospitalization expenses were lower[16 535.34(14 271.44,29 569.23)yuan vs.18 633.85(17 482.66)yuan,22 855.02)yuan,P＜0.05]in patients who received hospital-wide blood glucose management.Conclusion Hospital-wide blood glucose management based on insulin pumps showed favorable effects in the perioperative clinical application in cholelithiasis patients with type 2 diabetes,and could contribute to shortening the average length of stay,reducing hospitalization costs,and reducing postoperative complications.
关键词
全院血糖管理/胰岛素泵治疗/围术期/血糖控制/住院日/住院费用Key words
Hospital-wide blood sugar management/Insulin pump treatment/Perioperative period/Blood glucose control/Hospitalization days/Hospitalization expenses引用本文复制引用
基金项目
山西省科技创新人才团队专项(202204051002029)
内分泌代谢病山西省重点实验室项目(202104010910009)
山西省留学回国人员科技活动择优资助项目(20200032)
山西省基础研究计划(20210302123487)
山西省回国留学人员科研项目(2020-180)
山西省医学重点科研项目(2021XM23)
山西白求恩医院科研项目(2023xg04)
出版年
2024
NETL
NSTL
万方数据