老年糖尿病病人应激性高血糖与胸腔镜下肺切除术后肺部并发症的关系

doi:10.3969/j.issn.1003-9198.2022.05.001

Abstract

Abstract: Objective To investigate the relationship between stress hyperglycemia (SH) and postoperative pulmonary complications (PPCs) after thoracoscopic lung resection in the elderly patients with diabetes mellitus(DM). Methods A total of 367 elderly DM patients who underwent elective thoracoscopic lung resection in our hospital from January 2017 to July 2020 were enrolled. The data of clinical features, comorbidities, surgeons, intraoperative volume of liquid, duration of operation, levels of creatinine, hemoglobin, white blood cells, glycosylated hemoglobin and blood glucose were collected. Stress hyperglycemia ratio (SHR) was used to assess the intensity of SH. Multivariate Logistic regression analysis was used to analyze the risk factors for PPCs in the elderly patients with DM. Results Among the 367 elderly DM patients, 162 cases (44.1%,complication group) presented with PPCs. There were significant differences in serum fasting plasma glucose(FPG) at admission, preoperative arteria FPG, and SHR at admission between the two groups (all P＜0. 05). Multivariate Logistic regression analysis showed that preoperative FPG and SHR at admission were the independent risk factors of PPCs in the elderly patients with DM. Conclusions The levels of preoperative arterial FPG and SHR at admission show significant effects on the incidence of PPCs in the elderly patients with DM after thoracoscopic lung resection.

Key words: aged, diabetes, stress hyperglycemia, thoracoscopic lung resection, pulmonary complications

CLC Number:

CHEN Zi-xuan, Sara Musa Abdalla Elamin, ZHU Lin-jia, ZHA Tian-ming, XU Si-yang, GUI Bo, ZHANG Yang. Relationship between stress hyperglycemia and postoperative pulmonary complications after thoracoscopic lung resection in elderly patients with diabetes mellitus[J]. Practical Geriatrics, 2022, 36(5): 433-436.

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Relationship between stress hyperglycemia and postoperative pulmonary complications after thoracoscopic lung resection in elderly patients with diabetes mellitus

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