Effect Of Remote Blood Glucose Management On Perioperative Blood Glucose Control In Patients With Thoracoabdominal Surgery Combined With Diabetes

ObjectiveCompare the effects of different blood glucose management modes(remote blood glucose management and traditional blood glucose management)on the perioperative blood glucose control,perioperative complications,hospitalization time,and medical expenses of patients with diabetes and thoracoabdominal surgery.It is expected to provide guidance for perioperative blood glucose management.MethodThis study retrospectively analyzed clinical data of 160 patients with diabetics who underwent thoracoabdominal surgery in our hospital from May 2017 to January 2019.They were divided into observation group and control group based on whether receiving remote blood glucose management.The observation group received remote blood glucose management,and the control group did not receive remote blood glucose management.The application of remote blood glucose management during the perioperative period of the patient,the effect of controlling the patient’s blood glucose level,and the factors affecting the effect of the patient’s blood glucose control were analyzed.ResultThere was no significant difference between the general data of the two groups of patients and the comparison of the preoperative clinical indicators(P> 0.05);there was no significant difference in blood glucose levels before surgery,after surgery,6h between the two groups of patients(P> 0.05).The blood glucose levels in the observation group immediately after surgery,1h,and 12 h were significantly lower than those in the control group(P <0.05).The first landing time and incision healing time were significantly lower than those in the control group(P <0.05);The total hospitalization time in the observation group and hospitalization costs were significantly lower than those in the control group(P <0.05);No hypoglycemia occurred in the observation group,and 6 cases of hypoglycemia were found in the control group.only one patient in the observation group had a pulmonary infection with a complication rate of 1.25%,while 8 patients in the control group had complications.The complication rate was 8.89%,and the complication rate in the observation group was significantly lower than that in the control group(P <0.05).ConclusionReceiving remote blood glucose management help diabetic paients chieve good blood glucose control after thoracoabdominal surgery,shortening the length of hospital stay and blood glucose compliance time.It reduces the cost of treatment for patients,and the incidence of complications such as hypoglycemia after surgery is relatively low,which shows a good clinical application value.