老年口腔肿瘤合并糖尿病患者的围手术期处理

目的：探讨老年口腔肿瘤伴有糖尿病的患者，围手术期的临床处理要点。方法：对21例伴有糖尿病的老年口腔肿瘤患者，进行围手术期控制血糖后手术治疗。结果：21例伴有糖尿病的老年口腔肿瘤患者手术过程顺利，术中、术后因合理使用胰岛素而血糖控制良好，均安全度过围手术期，无严重并发症发生。结论：对于伴有糖尿病的老年口腔肿瘤患者，术前较好地控制血糖，术中、术后积极监测及治疗糖尿病，使围手术期的血糖相对稳定，是手术成功及减少术后并发症的关键。

Perioperative treatment of diabetes in aged patients with oral tumors

Objective: To investigate the treatment of perioperative period on aged patients with oral maxillofacial tumors and diabetes. Methods: The retrospective analysis was taken on clinical data of 21 aged cases with oral maxillofacial tumors and diabetes. Results: The level of blood glucose was correctly controlled with the application of insulin during the perioperative period,all 21 aged cases recovered without any severe complications. Conclusions: In order to prevent complications, it is very important for the aged patients with oral tumors and diabetes to monitor and to control the levels of blood glucose during perioperative period.