IIARD International Institute of Academic Research and Development

INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT (IJMEPR )

E-ISSN 2579-0498
P-ISSN 2695-2181
VOL. 8 NO. 5 2024
DOI: 10.56201/ijmepr.v8.no5.2024.pg61.72

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Relationship Between Type of Surgery and Postoperative Random Blood Sugar

Assist. Prof. Dr. Zaid Ali majeed, Haider yahya Naief and Safa Haider yahya

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Abstract

Background: - -Hyperglycemia is associated with poor outcome in critically ill hospitalized patients and causes impaired wound healing. Patients after surgery may develop hyperglycemia and is related to the hyper-metabolic stress response, in which the rate of glucose production increases and insulin resistance due to increase the level of counter regulatory hormones such as cortisol, epinephrine. The degree of these changes affected by the type and duration of surgery, anesthesia, and patients’ factors like age gender whether they are diabetic or not. Method: - 200 samples were collected from patients 168 female and 32 male were aged between {< 1 year- 80 years} underwent various types of operations and received either general anesthesia or spinal anesthesia ,the samples were taken from capillary blood and tested by HMG method at time of admission for surgery and postoperatively day zero . Results: The study included 200 participants with a mean age of 31.51 years, predominantly female (84.0%), and non-diabetic (96.5%). Cesarean section was the most common surgery (68.0%), and spinal anesthesia was the preferred choice (72.5%). There was no statistically significant difference in postoperative glucose levels based on the type or duration of surgery or the type of anesthesia used (p > 0.05). The mean postoperative glucose level was 123.28 mg/dL (SD = 30.765), with minor variations observed across different surgical and anesthesia categories. Conclusion: This study provides insights into the impact of surgery on postoperative glucose levels and highlights the importance of monitoring glucose metabolism in surgical patients. While factors such as surgery type, duration, and anesthesia did not significantly affect postoperative glucose levels in this study, further research with larger sample sizes and comprehensive perioperative glucose management protocols is warranted to optimize surgical outcomes and patient care.

keywords:

Non-Diabetic, Postoperative, Surgery

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