ĐÁNH GIÁ ĐƯỜNG HUYẾT CHU PHẪU VÀ CÁC BIẾN CHỨNG SAU PHẪU THUẬT Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Perioperative hyperglycemia increases postoperative complications in diabetes patients. Objectives: To evaluate perioperative glycemia and the relationships between perioperative glycemic control and postoperative complications. Materials and methods: This was a prospective, cross-sectional study on surgical patients with diabetes from May 2020 to October 2020, at Can Tho General Hospital. Results: Patients' plasma glucose reaching the preoperative target was 64.2%, and on the first day after surgery was 46.9%. The small and elective surgery group had a high rate of achieving glycemic goals. Patients with post-operative complications was 66.7%, including pneumonia (29.3%), wound infection (19.5%) and acute kidney failure (13.4%). Preoperative hyperglycemia increases complications of respiratory failure (p= 0.005) and mortality rate (p=0.043). Conclusion: In diabetes patients, the most common postoperative complications are pneumonia, wound infection and acute kidney failure. Preoperative hyperglycemia increases postoperative complications of respiratory failure and death.