关键词: 围手术期, 血糖管理, 胰岛素泵, 一体化

Abstract: Objective To analyze the effect of multidisciplinary cooperation combined with integrated system management model on blood glucose management of inpatients during perioperative period. Methods 180 perioperative hyperglycemia patients were selected from the income of Huizhou Central People's Hospital from January 2017 to June 2020. The random number table method was divided into 60 cases in the study group and 120 cases in the control group. efficacy indicators (FBG, 2hPBG, HbA1c, blood glucose up-to-date and up-to-date, insulin dosage, wound healing grade and days, average length of hospitalization), safety indicators (blood glucose fluctuations, hypoglycemia and incidence of complications), and health economic effects (patient satisfaction, average blood glucose control, and hospitalization costs) were compared between the two groups. Results Compared with the control group, the FBG, 2hPBG, HbA1c of the study group was lower, the blood glucose was lower, but the rate of blood glucose reached the standard was higher, the total insulin dosage and daily average dose were lower, the wound healing time and average hospitalization days were shorter, and the surgical incision healing was significantly better(P<0.05). Although there was no significant difference in the incidence of hypoglycemia between the two groups (P>0.05), the fluctuation of daytime and intraday blood glucose fluctuation and postoperative complications in the study group was smaller than that in the control group(P<0.05). In the control group, the study group scored higher in terms of medical satisfaction. Although the average blood sugar management fee was significantly higher, the hospitalization fee was significantly lower, and the difference was statistically significant (P<0.05). Conclusion The multidisciplinary and integrated system management model has good effect on the blood glucose management of perioperative inpatients, which is worthy of clinical application.

Key words: perioperative period, blood glucose management, hyperthermia, insulin pump, integration