中国实用妇科与产科杂志

中国实用妇科与产科杂志

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糖尿病患者妇科手术围手术期处理要点

王刚,李伟枫   

  1. 作者单位：佛山市第一人民医院妇产科，广东 佛山 528000
  • 出版日期:2014-11-02 发布日期:2014-11-07

The main point in perioperative management of diabetes patients with gynecological surgery.

WANG Gang, LI Wei-feng.   

  1. Department of Obstetrics and Gynecology, the First People’s Hospital of Foshan,Foshan 528000,China
  • Online:2014-11-02 Published:2014-11-07

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摘要：

糖尿病是以高血糖为主要特点，引起代谢紊乱综合征的一种疾病。糖尿病患者对手术耐受性差，手术应激、麻醉、术后疼痛等均增加其手术复杂性及危险性。做好糖尿病患者围手术期管理是手术成功以及减少并发症的重要因素，应当把需要接受手术治疗的糖尿病患者视为高危和疑难病例进行全面系统的围手术期综合管理，重点包括：健康教育、饮食调节、血糖控制、心血管事件和感染预防等。

关键词: 糖尿病, 妇科手术, 围手术期

Abstract:

Abstract: Diabetes mellitus is a disease characterized by hyperglycemia,which causes metabolic disturbance.Patients with diabetes have poor tolerance to surgery,so their stress to surgery,anaesthesia and pain after surgery can make the operation more complex and dangerous.Perioperative management of patients with diabetes are an important factor for success of operation and reduction of complications.Therefore,patients with diabetes facing surgery should be considered as high risk and complex cases.Comprehensively perioperative management,which include health education,diet,blood glucose control, cardiovascular event and infection prevention ，and so on,is very necessary to them.

Key words: diabetes, gynecological surgery, perioperative period

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