在接受选择性手术的糖尿病患者和非糖尿病患者中进行术前胃体积估计:一项前性观察性研究
Nimisha Cherunghattil1, Rashmi Dubey2, Monica Khetarpal2
1Anesthesiology, All India Institute of Medical Sciences, Raipur, IND.
Cureus
|February 11, 2026
概括
糖尿病自主神经病变导致胃排空延迟,增加吸收风险. 超声波显示,糖尿病患者的胃残留体积明显高于非糖尿病患者,与低血糖控制相关.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病自主神经病变会导致胃和延迟胃排空.
- 这增加了麻醉诱导期间的吸入风险,即使在禁食后.
- 剩余胃体积的评估对于手术前风险分层至关重要.
研究的目的:
- 用超声波估计糖尿病和非糖尿病患者的剩余胃体积.
- 评估长期血糖控制对胃空化的影响.
- 评估糖尿病持续时间,血糖控制和胃体积之间的相关性.
主要方法:
- 80名患者 (40名糖尿病患者,40名非糖尿病患者) 的前性观察研究.
- 胃超声波在禁食8小时和口服液体摄入后2小时后进行.
- 计算下腹截面面积 (CSA) 和胃体积 (GV);分析了糖尿病持续时间,HbA1c和RBS.
主要成果:
- 糖尿病患者的空腹和后流体摄入量GV显著增加 (55.61±25.65毫升与20.43±10.37毫升相比;p < 0.001).
- 在HbA1c和GV之间存在强烈的正相关性 (每1%的HbA1c上升增加16.12毫升).
- 糖尿病持续时间和RBS也与GV有积极的相关性.
结论:
- 长期糖尿病和血糖控制不良与胃残留体积增加有关.
- 超声导向的胃体积评估可以识别具有更高吸入风险的患者.
- 术前超声波可能有助于实施防止吸血的预防措施.
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