KHẢO SÁT THAY ĐỔI ĐƯỜNG MÁU MAO MẠCH VÀ MỘT SỐ YẾU TỐ ẢNH HƯỞNG TRONG PHẪU THUẬT Ở BỆNH NHÂN CAO TUỔI ĐÁI THÁO ĐƯỜNG TYP 2 TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objectives: Evaluate characteristics of elderly patients with diabetes undergoing surgery and changes in perioperative capillary blood sugar and some factors related to changes capillary blood sugar. Subject and method: Prospective descriptive study, 100 patients ≥ 60 years old, with type 2 diabetes, undergoing elective surgery. Results: Mean age was 77.2 ± 8.1 years old. The male patients is 72.27%. HbA1C index at ≥8% accounts for 38%. 88% of patients with diabetes for more than 5 years. 73% of patients using pills, 29% in the study had diabetes complications. Blood sugar after surgery was 9.4±1.0 higher than before surgery (8.1±1.1), statistically significant with p<0.01. The group over 80 years old had higher capillary blood sugar levels than the group 60 - 69 years old (p<0.05). Patients who have had diabetes for a long time, use insulin medication, and have complications of diabetes have higher post-operative insulin increases. Conclusion: The duration over 5 years of diabetes accounting for 88%. 73% of patients using pills, 29% had diabetes complications, HbA1C ≥8% accounted for 38%. Patients over 80 years old, have had diabetes for a long time, used insulin drugs, and had complications of diabetes have higher post-operative insulin increases.