Đánh giá đường huyết chu phẫu và các biến chứng sau phẫu thuật ở bệnh nhân đái tháo đường tại Khoa Ngoại tổng hợp Bệnh viện Đa khoa thành phố Cần Thơ năm 2020

Perioperative hyperglycemia increases postoperative complications in diabetes patients [10], [15]. Only 59% of patients have glycemic control. In Vietnam, there are no studies to evaluate the relationship between perioperative glucose and the rate of complications after surgery in the general surgery department. Objectives: To evaluate blood sugar in the cycle. Determine the rate of complications after surgery. Analyze the relationship between perioperative glycemic control and postoperative complications. Results: The highest blood glucose achieved the target on a preoperative day (64.2%) and the lowest on the first day after surgery (46.9%). Major and program surgery groups have a high blood sugar achieved target rate. 66,7% of patients had postoperative complications, the most common are pneumonia (29.3%), wound infection (19.5%). Preoperative high blood sugar increased respiratory complications (p = 0.005) and death rate (p = 0.043). Blood glucose achieved the target three times was 0.33 times lower with p = 0.031. Conclusion: The most common complications are pneumonia, wound infection, and acute kidney failure. High preoperative blood sugar increases respiratory failure complications and death. Control of blood sugar at all three times reduces the incidence of complications.