期刊导航

论文摘要

伴有糖尿病的颌面部手术患者围手术期的临床研究

Clinical Analysis of Maxillofacial Patients with Diabetes on Per ioper ative Per iod

作者:杨苗苗 刘磊 王舒婷 马永清

Author:YANG Miao- miao, LIU Lei, WANG Shu - ting, MA Yong- qing

收稿日期:2007-06-25          年卷(期)页码:2007,25(03):275-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:颌面部手术,糖尿病,围手术期,胰岛素,

Key words:maxillofacial operation,diabetes,perioperative period,insulin,

基金项目:

四川省杰出青年学科带头人培养基金资助项目(06ZQ026- 008)

中文摘要

目的探讨伴有糖尿病的颌面部手术患者围手术期的临床处理要点。方法对24例伴有糖尿病的颌面部手术患者的临床资料进行回顾性分析。结果经围手术期全程使用胰岛素控制血糖、术后加以抗生素抗感染后,24例伴有糖尿病的颌面部手术患者全部治愈出院,无全身和局部并发症发生。21例患者术后创口愈合良好,3例患者术后14 d创口未完全愈合,经及时换药和局部使用金因肽喷涂后,14~28 d内创口愈合。结论对伴有糖尿病的颌面部手术患者,围手术期应以“严密监测血糖,严格控制血糖,防止并发症”为治疗原则。

英文摘要

Objective To investigate the treatment of perioperative period on maxillofacial patients with diabetes. Methods The retrospective analysis was taken on clinical data of 24 cases of maxillofacial patients with diabetes. Results All patients recovered without severe complications by controlling blood sugar during whole stage and preventing infection with antibiotics after surgery. The wounds in 21 cases healed in 10- 14 days after the operations and that didn′t in 3 cases. With the treatment on local wounds, the wounds in 3 cases healed in 14- 28 days after the operations. Conclusion It′s the treatment principle of maxillofacial surgical patients with diabetes to monitor the levels of blood glucose on time, to control the levels of blood glucose rigorously at the whole stage and to prevent complication.

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