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The changing law of blood glucose,serum insulin and C-peptide levels during general anesthesia of gastric bypass surgery

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF DIABETES
Issue:
4
DOI:
10.3969/j.issn.1006-6187.2012.04.004
Key Word:
胃转流手术;血糖;血清胰岛素;血清C-肽

Abstract: 目的 观察实施胃转流手术(GBP)治疗的T2DM患者麻醉期间血糖、血清胰岛素及血清C-P的变化规律.方法 41例行GBP术的T2DM,患者,分别于术前、麻醉开始、麻醉后60 min、120 min、麻醉结束抽取静脉血测定血清C-P、血清胰岛素含量,采用雷兰实时显示动态血糖监测系统(DGMS@ Real-Time)监测手术全程血糖水平变化.结果 DGMS@ Real-Time图谱显示:自气管插管开始,血糖水平呈逐渐升高趋势.与术前相比,麻醉期间各时间点血清C-P数值及血清胰岛素数值整体呈下降趋势,尤以麻醉后60 min数值最低.其中有1例患者发生低血糖,13例患者血糖高于10 mmol/L.结论 胃转流手术患者麻醉期间,由于手术创伤等应激反应减少了机体胰岛素的合成和分泌,干扰了机体的糖代谢,导致血糖升高.

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