The Influence Of Information Technology Combined With The Blood Glucose Management Mode Of The Hospital Team On The Blood Glucose And Related Management Outcomes Of Patients With Hyperglycemia In Gastrointestinal Surgery

Objective: Analyzing the influence of information technology combined with the blood glucose management model of the hospital team on the blood glucose-related indicators of patients with hyperglycemia in gastrointestinal surgery and related influencing factors will help build a more comprehensive and standardized high-quality blood glucose management model.Methods: From 2018-11-02 to 2020-05-01,329 patients who were admitted to the Department of Gastrointestinal Surgery of Sichuan Provincial People’s Hospital who were diagnosed with gastric cancer or bowel cancer combined with hyperglycemia were regarded as the information technology joint in-hospital blood glucose management group(team management group).From 2017-05-01 to 2018-11-01,403 cases of gastrointestinal surgery patients admitted to Sichuan Provincial People’s Hospital were taken as the control group(conventional management group)through department self-management or routine consultation management mode.Through statistical analysis,the differences in blood glucose and related management outcome indicators between the two different management methods were compared,and the related factors affecting the outcome were analyzed.Results: From May 2017 to May 2020,a total of 732 patients with gastric cancer or bowel cancer combined with hyperglycemia who were hospitalized in gastrointestinal surgery were admitted to Sichuan Provincial People’s Hospital,including 329 patients in the team management group and 403 patients in the routine management group.Comparison of general data,gender,age,main diagnosis,whether it was combined with hypertension,heart disease,previously diagnosed diabetes,whether there was gastrointestinal bleeding,infection complications during hospitalization,and the average blood glucose level on the day of admission were not statistically significant Difference(p>0.05).According to the fasting blood glucose compliance rate,the detection rate of glycosylated hemoglobin,the incidence of hyperglycemia,the incidence of severe hyperglycemia,the incidence of hypoglycemia,the incidence of clinically significant hypoglycemia,the average blood glucose value during hospitalization,The maximum blood glucose fluctuation range,the average number of blood glucose tests per person per day,preoperative preparation time,hospital bed days,hospitalization expenses,and mortality were used as outcome variables,Comparing the differences between the two groups showed that after joining the information-based team’s blood glucose management,the blood glucose indicators and other indicators of the team management group were better than those of the control group,and the differences were statistically significant(p<0.05).Multivariate regression analysis shows that the previously diagnosed diabetes will increase the risk of substandard fasting blood glucose,hyperglycemia,severe hyperglycemia,and hypoglycemia,increase the maximum blood glucose fluctuation range and increase the number of hospital bed days;Higher average blood glucose at admission makes fasting blood glucose substandard,increased risk of hyperglycemia and severe hyperglycemia events,increased average blood glucose during hospitalization,and increased maximum blood glucose fluctuations;Combined gastrointestinal bleeding increases the risk of hyperglycemia,severe hyperglycemia,death events,long preoperative preparation time,and increased hospitalization costs;Co-infection increases the risk of severe hyperglycemia,clinically significant hypoglycemia,and death events,increasing the maximum blood glucose fluctuation range,increasing hospital bed days,and increasing hospital costs;Concomitant heart disease increases the risk of clinically significant hypoglycemia events,longer preoperative preparation time,and more hospital bed days.There was no significant correlation between age and combined hypertension and the dependent variables.Conclusion: Through informatization combined with the active intervention of the inhospital team blood glucose management model for patients with hyperglycemia in gastrointestinal surgery,the blood glucose indicators and related management outcome indicators of the team management group are better than those of the conventional management group.This management method can improve the short-term clinical prognosis of patients.