The Relationship Between Perioperative Blood Glucose Levels And Postoperative Complications, Hospital Costs, Hospital Days In Alimentary Canal Malignancy Patients

Objective:To study the influence between hyperglycemia in the perioperative periodand postoperative complications, hospital costs, hospital length of stay in patientswith alimentary canal malignancy who undiagnosed diabetes.Methods: Review the clinical data of1,015cases of alimentary canal malignantpatients with undiagnosed diabetes who treated in oncological surgery in our hospitalfrom January2010to January2012.Analyzed the preoperative fasting blood glucose,hepatic function, renal function, and the first postoperative day blood glucose, hepaticfunction, renal function and other indicators, Discussion the relationship betweenperioperative blood glucose levels of non-diabetic patients with alimentary canalmalignancy and postoperative complications, hospital costs, hospitalization days.Results: In1015cases of patients with alimentary canal malignancy whoundiagnosed diabetes, preoperative fasting blood glucose more than6.1mmol/L,accounted for16.4%;more than7.0mmol/L,5.1%.First postoperative day, blood sugarmore than6.1mmol/L accounted for79.0%, more than7.0mmol/L,60.4%,significantly higher than the preoperative incidence of hyperglycemia（more than6.1mmol/L，2=798.75，P<0.01；more than7.0mmol/L，2=703.83，P<0.01）. Age,the first postoperative day blood glucose, the cost of hospitalization andhospitalization days in the postoperative complications group were significantlyhigher than those without postoperative complications group. Length of hospital stay,cost of hospitalization and postoperative complication rate was significantly increasedwhen the first postoperative day blood glucose levels higher than9.13mmol/L.Conclusion: In undiagnosed diabetes with alimentary canal malignancy, when thefirst postoperative day blood glucose levels higher than9.13mmol/L,it need tostrengthen the monitoring and intervene blood glucose, in order to reduce theincidence of postoperative complications, shorter hospital stay period and reduce the economic burden of patients.