Observe The Level Of Glucemia Change With Type Ⅱ Diabetes In General Anesthesia

Objective:To observe the level of plasma glucose change with typeⅡdiabetes in general anesthesia.Methods:Sixty patients(ASAⅠ～Ⅱ) are skeduled for subtotal resection operation of thyroid in general anesthesia.They were divided into two groups of 30 each,The two groups have the anesthesia induction as:at first,injected scopolamine 0.3mg intravenously;second,injected propfol 2mg/kg, fentanil 3μg/kg and 0.15mg/kg vecuronim for induction.The patients were maintained with 6～10mg/kg·h propofol,combined with remifentanil 5～15μg/kg·h.At 3 min before induction,3 min after induction, 10min after trachea intubation,15min after cutting skin,1h after cutting skin,10min after trachea extubation, take venous blood immediately to test plasma glucose and record the patient's plasma glucose.Results:There were no differences in the patient backgroud among two groups.Compared to the non-diabetic patients,the plasma glucose of type II diabetic patients increased more significantly (P<0.05).Conclusion:For the stress of anesthesia and surgery, type II diabeteic patients in general anesthesia showed a higher level of increased plasma glucose. The complication with glucose metabolic dysfunction lead to great danger of anesthesia and surgery.Peri-operative plasma glucose monitoring is important to typeⅡdiabeteic patients.