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目的探讨糖尿病患者妇科手术的处理原则。方法回顾性分析62例行妇科手术的糖尿病患者的临床资料。结果全部病例术后24小时内血糖均较术前增高。其中全麻及手术时间12min以上对血糖的影响分别明显大于连续硬膜外麻醉及手术时间120min以下。有17例术后出现一过性尿酮体阳性，3例因禁食、胃肠减压出现持续性阴酮酸中毒和低钾血症，经胰岛素调节后恢复正常。62例患者预后均良好。结论糖尿病患者术前应仔细检查并于手术前后积极治疗，依具体情况选择麻醉方法，对术后禁食、胃肠减压患者应防止低钾血症。
Objective To investigate the principles of gynecological surgery in patients with diabetes mellitus. Methods A retrospective analysis of 62 cases of gynecological surgery in patients with diabetes mellitus clinical data. Results All cases within 24 hours after the blood glucose increased compared with preoperative. The effects of general anesthesia and operation time of 12 minutes on blood glucose were significantly greater than those of continuous epidural anesthesia and operation time of 120 minutes respectively. There were 17 cases of postoperative transient urinary ketone body was positive, 3 cases of fasting, gastrointestinal decompression persistent hypokalemia and hypokalemia, insulin regulation returned to normal. 62 patients with good prognosis. Conclusion Diabetic patients should be carefully examined preoperatively and actively before and after surgery. Anesthesia should be selected according to the specific conditions. Hypokalemia should be prevented in patients with fasting and gastrointestinal decompression after surgery.