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胰岛素泵在眼科糖尿病患者围手术期的应用
引用本文:王兴民,高潮.胰岛素泵在眼科糖尿病患者围手术期的应用[J].实用全科医学,2009,7(7):756-758.
作者姓名:王兴民  高潮
作者单位:王兴民,Wang Xing-ming(浙江省瑞安市中医院内科,325200);高潮,Gao Chao(浙江省瑞安市中医院眼科,325200) 
基金项目:浙江省瑞安市科技局资助项目 
摘    要:目前糖尿病加速流行,需要手术治疗的眼科糖尿病患者也日益增加。围手术期快速平稳地血糖控制,不仅能够保证手术顺利进行,还能减少术后并发症,有利于视力的恢复。而胰岛素泵是目前调节血糖最理想的手段。本文回顾了糖尿病相关眼科疾病流行病学以及手术治疗方法,探讨了高血糖和血糖波动对预后的影响以及围手术期血糖的管理,发现胰岛素泵的应用能减少围手术期血糖波动,降低手术并发症,使手术更为安全、有效。

关 键 词:糖尿病  眼科  白内障  围手术期  胰岛素泵

The Application of Insulin Pump in Eye Diseases in Diabetic Mellitus during the Peri-operation Period
Wang Xing-ming,Gao Chao.The Application of Insulin Pump in Eye Diseases in Diabetic Mellitus during the Peri-operation Period[J].Applied Journal Of General Practice,2009,7(7):756-758.
Authors:Wang Xing-ming  Gao Chao
Institution:. (Department of Internal Medicine ,Ruian Hospital of Traditional Chinese Medicine ,Ruian 325200 ,Zhejiang, China)
Abstract:The prevalence of diabetic mellitus (DM) is speed-up, and more eye diseases in DM need an operation. Ideal blood glucose (BG) concentration is necessary to operate smoothly and decrease the complications. Meanwhile,it will helpful to the recovery of vision. Insulin pump is the best means of controlling BG. This article retrospects the prevalence of ophthalmic diabetics and surgical treatments, discusses the influence of hyperglycemia and BG fluctuation and the way to get a good BG during the pe- ri-operation period. It emphasizes that using of insulin pump can reduce BG fluctuation, decrease the complication of operation and make operation more safely and effective.
Keywords:Diabetes mellitus  Ophthalmic  Cataract  Peri-operation period  Insulin pump
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