Blood glucose management during circulation rehydration after renal transplantation
肾移植术后循环补液期间血糖管理

摘要

目的 探究在肾移植患者中术后循环补液期间的血糖管理影响效果。方法 筛选我院收治的肾移植手术患者56例为本次研究对象，研究期间为2021年7月至2023年7月，采用数字随机表法，将患者平均分为两组，每组纳入28例，分别命名为对照组与实验组，采用术后常规血糖监测管理纳入对照组，采用术后强化糖血监测路径管理纳入实验组，对比两组术后不同时段血糖水平、血糖异常发生率和感染情况。结果 术后24h，两组平均血糖值对比差异不显著（P>0.05），术后72h、术后1周，实验组平均血糖值均低于对照组，差异呈现明显统计学价值（P<0.05）；实验组严重高血糖发生率（7.50%）和低血糖发生率（0.00%）均低于对照组严重高血糖发生率（25.00%）和低血糖发生率（10.00%）（P<0.05）；实验组泌尿系统感染率（2.50%）、切口感染率（0.00%）和肺感染发生率（5.00%）分别低于对照组泌尿系统感染（15.00%）、切口感染率（12.50%）和肺感染率（20.00%）（P<0.05）。结论 在肾移植手术患者中术后循环补液期间，给予强化糖血监测路径管理优势突出，能明显降低血糖异常发生情况，改善患者血糖水平，减少术后感染发生率，管理模式值得借鉴。

Abstract

Objective To explore the effects of blood glucose management during postoperative circulatory rehydration in renal transplant patients.
Methods screening kidney transplant patients admitted to our hospital for the study object, the study period from July 2021 to July 2023, using digital random table method, the patients were divided into two groups, each group into 28 cases, respectively named control group and experimental group, using postoperative routine blood glucose monitoring management into the control group, using the postoperative intensive blood sugar monitoring path management into the experimental group, comparing the two groups different postoperative blood glucose levels, abnormal rate and infection.
Results At 24h after surgery, No significant difference between the two groups (P> 0.05), At 72h and 1 week after surgery, Mean blood glucose values of the experimental group were lower than the control group, The difference showed significant statistical value (P <0.05); The incidence of sever e hyperglycemia (7.50%) and the incidence of hypoglycemia (0.00%) in the experimental group were lower than that of severe hyperglycemia (25.00%) and hypoglycemia (10.00%) in the control group (P <0.05); The urinary system infection rate (2.50%), incisional infection rate (0.00%) and lung infection rate (5.00%) were lower than the control group (15.00%), incisional infection rate (12.50%) and lung infection rate (20.00%) (P <0.05).
Conclusion   During the postoperative circulatory rehydration period of renal transplant patients, the management of intensive sugar blood monitoring path has prominent advantages, which can significantly reduce the occurrence of abnormal blood glucose, improve the blood glucose level of patients, and reduce the incidence of postoperative infection. The management mode is worthy of reference.