骨折合并糖尿病老年手术患者血糖控制和并发症的观察

目的 观察骨折合并糖尿病老年手术患者血糖控制和并发症的临床研究.方法 将北京中关村医院内科(2017年1月—2019年12月)收治骨折合并糖尿病老年患者总计138例患者,随机数字法分成两组,其中对照组(69例)与实验组(69例),对照组患者实施常规干预,而实验组患者实施综合干预,并对患者进行随访6个月.对照两组患者干预...

Observation of Blood Glucose Control and Complications in Elderly Patients with Fracture and Diabetes during Operation

Objective To observe the clinical study of blood glucose control and complications in elderly patients with fractures complicated by diabetes surgery.Methods A total of 138 elderly patients with fractures and diabetes were admitted to the Department of Internal Medicine of Beijing Zhongguancun Hospital(January 2017 to December 2019).They were divided into two groups by random number method,the control group(69 cases)and the experimental group(69 cases).The patients in the control group implemented routine interventions,while the patients in the experimental group implemented comprehensive interventions,and the patients were followed up for 6 months.The two groups of patients were compared with fasting blood glucose before and after intervention,2 h blood glucose after meal,and complications during hospitalization.The incision healing time and fracture healing time during follow-up were compared.Results Before the intervention,the two groups of patients had fasting blood glucose and 2 h postprandial blood glucose levels,the difference was not statistically significant(P>0.05).After the intervention,the fasting blood glucose and 2 h postprandial blood glucose levels of the two groups of patients were significantly reduced,and the experimental group was significantly lower than the control group,the difference was statistically significant(P<0.01).The complication rate of patients in the experimental group during hospitalization was 1.45%significantly lower than that of the control group 10.14%,the difference was statistically significant(P<0.05).The incision healing time and fracture healing time in the experimental group were significantly shorter than those in the control group during the follow-up period,the difference was statistically significant(P<0.001).Conclusion In elderly patients with fractures and diabetes,targeted comprehensive intervention measures can significantly improve the patient’s blood glucose level and reduce the incidence of complications during hospitalization,with ideal results.