Effect of "hospital informationized blood glucose management" on perioperative diabetic patients
10.3760/cma.j.issn.1000-6699.2018.09.010
- VernacularTitle:"医院信息化血糖管理"对围手术期糖尿病患者的影响
- Author:
Xinmei HUANG
1
;
Jun LIU
;
Feizhou LYU
;
Qaioqing CHEN
;
Fang WANG
;
Jiong XU
;
Zaoping CHEN
;
Li SHENG
;
Bingbing ZHA
;
Yueyue WU
;
Dongli XU
Author Information
1. 复旦大学附属上海市第五人民医院内分泌代谢科
- Keywords:
Informationized blood glucose management;
Perioperative period;
Diabetes mellitus
- From:
Chinese Journal of Endocrinology and Metabolism
2018;34(9):768-772
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of " hospital informationized blood glucose management" on perioperative diabetic patients. Methods Three hundred patients with type 2 diabetes mellitus, who underwent selective operations from orthopedics, general surgery, urological surgery, and thoracic surgery were divided into two groups: 150 cases of blood glucose information management group and 150 cases of traditional blood glucose monitoring and management group. The blood glucose on target rate, percent of hypoglycemic events, percent of hyperglycemic events, the blood glucose level on the first postoperative day, the average hospitalization day, perioperative infection rate were evaluated for efficacy. Results The blood glucose on target rate in informationized blood glucose management group was significantly higher than that of the control group [(52.52 ± 18.31)%vs (14.88 ± 8.39)%, P＜0.01]. The frequency of hyperglycemia, the average daily blood glucose, the average blood glucose on fasting, after three meals and at night, the fasting and postprandial blood glucose level on the first postoperative day in informationized blood glucose management group were significantly lower than that of the control group [( 45. 31 ± 18.87)%vs (84.41±8.86)%, (8.59±1.34 vs 12.47±2.37) mmol/L, (7.33±1.41 vs 10.01±1.99)mmol/L, (8.89 ±2.34vs13.61±3.47)mmol/L,(9.47±1.94vs13.46±2.77)mmol/L,(9.40±2.72vs13.28±2.94)mmol/L, (8.28±2.11vs11.31±2.89)mmol/L,(8.29±2.51vs11.58±3.52)mmol/L,(8.25±3.67vs17.65±19.68) mmol/L, all P＜0.01]. In addition, the average hospitalization day of the informationized blood glucose management group was significantly shorter than that of the control group [(16±7 vs 21±15)d, P＜0.05]. The infection rate of the management group and the control group were 41. 2% and 58. 8% respectively. There was no significant difference between two groups (P＞0.05). Conclusion The " hospital informationized blood glucose management" is simple and practical, which may significantly improve the rate of blood glucose control in each period, reduce the average hospitalization day, and decrease perioperative infection tendency.
