Peri-operative management of fracture in patients with diabetes mellitus / 中华外科杂志
Chinese Journal of Surgery
;
(12): 837-841, 2003.
Artículo
en Chino
| WPRIM
| ID: wpr-311195
ABSTRACT
<p><b>OBJECTIVE</b>To study the characters of the treatment of perioperative period in fractures with diabetes mellitus (DM) and the effect of diabetes on the treatment of them.</p><p><b>METHODS</b>To retrospectively analyze the clinical data of 97 fracture patients with DM (DM group) who accepted operation. Compare the difference of the average hospitalized length, medical cost and the incidence of postoperative complications with the controls.</p><p><b>RESULTS</b>(1) Insulin dosage was less in postoperative period (0.5 +/- 0.2) U.d(-1).kg(-1) than steady period (0.7 +/- 0.2) U.d(-1).kg(-1) and operative period (0.7 +/- 0.3) U.d(-1).kg(-1), the difference is significant (P < 0.05); (2) There were more complications in DM group than that in the control group before operation. The fractured patients with DM could receive operation after preoperative treatment and improving micro-circulation; (3) Compared with control group, DM group had longer preoperative preparation period of in-hospital duration, and higher in-hospital medical costs; (4) There were no significant difference between DM group and control group (P > 0.05) in postoperative complications and wound healing.</p><p><b>CONCLUSIONS</b>Fractured patients with DM should take effective methods to treat complications of DM and do adequate preparation for the operation. Rational treatment of preoperative complications is very important for preventing postoperative one and guarantee operation successful. But the longer of hospitalized length is, the higher of in-hospital medical costs are.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Cirugía General
/
Glucemia
/
Estudios Retrospectivos
/
Atención Perioperativa
/
Complicaciones de la Diabetes
/
Fracturas Óseas
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2003
Tipo del documento:
Artículo
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