[摘 要] 目的 探讨糖尿病患者妇科围手术处理原则。 方法 回顾性分析72例糖尿病患者行妇科手术的临床资料。 结果 全部病例术后24h内血糖均较术前增高。其中全麻及手术时间120min以上对血糖的影响分别明显大于连续硬膜外麻醉及手术时间120min以下者。18例术后出现一过性尿酮体阳性，4例出现酮症酸中毒和低钾血症，经胰岛素调节后恢复正常。72例患者预后良好。 结论 糖尿病患者手术麻醉宜选用连续硬膜外麻醉，手术时间最好控制在120min。

    [关键词] 糖尿病;妇科疾病;围手术期

    Perioperatitve management of gynecological diseases complicated with diabetes

    LIANG Shu-min，WU Jie

    (Department of Obstetrics&Gynecology，Dazhou Central Hospital，Dazhou635000，China)

    Abstract:Objective To explore the principles of the perioperative management of gynecological patients with diabetes.Methods The clin-ical data from72gynecological patients with diabetes undergoing gynecological operation were analyzed retrospectively.Results The blood sugar levels of72patients increased within24h after operation.Effects of general anesthesia with operation time longer than120min on the blood sugar levels of patients were more significant than those of epidural anesthesia with operation time shorter than120min.Transient positive acetone in the urine after operation was found in18patients ......