Evaluation of the clinical relevant effect of hospital-wide blood glucose management in perioperative cholelithiasis patients with type 2 diabetes
10.3760/cma.j.cn115822-20231130-00066
- VernacularTitle: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
- Author:
Jie YANG
1
;
Shiwei LIU
;
Wanrong DOU
;
Le JIANG
;
Qianqian YANG
;
Ruixue DUAN
;
Chenxia ZHANG
;
Jie ZHENG
Author Information
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
- Keywords:
Hospital-wide blood sugar management;
Insulin pump treatment;
Perioperative period;
Blood glucose control;
Hospitalization days;
Hospitalization expenses
- From:
Chinese Journal of Clinical Nutrition
2024;32(1):44-49
- CountryChina
- Language:Chinese
-
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.
