Meta-analysis of effects of different target blood glucose control on postoperative complications during fasting after abdominal surgery
10.3760/cma.j.issn.1672-7088.2018.23.015
- VernacularTitle:外科腹部手术后禁食期间不同目标血糖值控制对术后并发症影响的Meta分析
- Author:
Xuelei XU
1
;
Weinan LIU
;
Yang WANG
;
Yufen MA
Author Information
1. 100730,北京协和医院基本外科一病房
- Keywords:
Abdominal surgery;
Fasting;
Glycemic control;
Blood glucose range;
Complication;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2018;34(23):1830-1835
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of different target blood glucose control on postoperative complications during fasting after abdominal surgery by Meta-analysis. Methods From January 1990 to May 2016 the computer retrieval of related Chinese and foreign literature into surgery during the fasting blood glucose control in different range of patients, were randomly divided into control group and intervention group, from two independent data extraction and document evaluation. Meta-analysis using RevMan5.3 software. Results A total of 6 articles were included. Meta-analysis results showed that after abdominal surgery during the fasting of different target blood glucose control on the incidence of hypoglycemia, the incidence of postoperative complications of surgical incision infection after operation, the differences were statistically significant (P<0.05), However, there was no significant difference in postoperative mortality rate (P>0.05). Conclusions After abdominal surgery in patients with intensive glycemic control during the fasting ,value at the lower range (4.4-6.1mmol/L) can effectively reduce the incision infection and the incidence of postoperative complications, is conducive to the rehabilitation of patients, but increase the risk of hypoglycemia, and it has little effect on the mortality of patients during hospitalization. The control group included blood glucose range is too large or lack of continuity and included in the study Chinese literature is too small, leads to a limitation of the research, the analysis results still need more clinical nursing practice and a large number of high quality documents to support.
