Analysis of Risk Factors for Postoperative Ketoacidosis in Patients with Coronary Heart Disease Complicated with Diabetes Mellitus

DOI: https://doi.org/10.62517/jmpe.202618106

Author(s)

Wang Lei , Xing Xiaoying *, Ji Cui, Ma Yaya, Teng Yajuan

Affiliation(s)

Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China *Corresponding Author.

Abstract

Objective: To analyze the risk factors for postoperative ketoacidosis in patients with coronary heart disease complicated with diabetes mellitus. Methods: A retrospective analysis was conducted on 94 patients with coronary heart disease complicated with diabetes mellitus who underwent surgery in our hospital from March 2024 to May 2025. They were divided into two groups according to the presence of postoperative ketoacidosis: the non-ketoacidosis group (59 cases) and the ketoacidosis group (35 cases). The clinical data of the two groups were analyzed. Results: There were significant differences between the two groups in blood glucose level, postoperative stress response level, infection, and postoperative nutritional level (P<0.05). The postoperative diuretic use rate in the ketoacidosis group was higher than that in the non-ketoacidosis group (P<0.05). Conclusion: Blood glucose level, postoperative stress response level, infection, and postoperative nutritional level are risk factors for postoperative ketoacidosis in patients with coronary heart disease complicated with diabetes mellitus, which require attention in clinical treatment.

Keywords

Risk Management; Cardiac Surgery; Acute Skin Failure; Nursing

References

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