PMID- 34808747 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211124 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 101 IP - 43 DP - 2021 Nov 23 TI - [Effects of different doses of glucocorticoids on minimally invasive procedures in pain patients with type 2 diabetes]. PG - 3554-3558 LID - 10.3760/cma.j.cn112137-20210726-01663 [doi] AB - Objective: To investigate the effects of different doses of glucocorticoids on minimally invasive procedures in patients with type 2 diabetes mellitus (T2DM), and optimize the clinical pathways of minimally invasive procedures. Methods: The clinical data of 284 patients with T2DM who received minially invasive procedures from the Department of Pain Medicine, West China Hospital, Sichuan University from May 2017 to May 2020 were retrospectively reviewed. The patients were divided into two groups according to the main diagnostic types: spine-related group (n=148) and herpes zoster group (n=136). According to the cumulative dose of glucocorticoids (GCs) per unit body surface area during the hospitalization, patients were further divided into three subgroups: low-dose group (GCs<3.5 mg/m(2)), medium-dose group (3.5 mg/m(2) /=7 mg/m(2)). The clinical characteristics of the patients in different subgroups of the two diseases groups were compared. The effects of the glucocorticoids on the pain intensity, blood glucose, length of hospital stay (LOS) and total hospitalization cost were compared among the 3 subgroups of the two diseases groups. Results: There were no significant differences in the age, gender, height, weight, visual analog scale (VAS) and fasting blood glucose before procedures between the two groups (all P>0.05). The VAS score of the low-dose group from the spine-related group was 4.5+/-1.6, which was higher than that of the medium-dose group (3.5+/-1.3) (P=0.004). VAS score was 4.3+/-1.3 in the medium-dose group and 4.4+/-1.6 in the high-dose group from the herpes zoster group, which were higher than that in the low-dose group (3.5+/-0.9) (P=0.006). In terms of blood glucose, the impact on the fasting blood glucose before and after the procedures in the low-dose group from the spine-related group was less than that in the medium dose group (P=0.013). In the herpes zoster group, the blood glucose of the low-dose group was (11+/-5) mmol/L, which had less influence on the blood glucose fluctuation during the hospitalization than that in the high-dose group [(15+/-5) mmol/L] (P<0.05). The LOS and hospitalization cost in the low-dose group from the spine-related group were (9+/-4) d and (10 583+/-4 851) yuan, respectively, which were less than those in the medium-dose group [(11+/-3) d and (15 202+/-7 418) yuan] and high-dose group [(13+/-6) d and (18 100+/-4 138) yuan] (all P<0.05); however, there was no significant difference among different subgroups in the herpes zoster group (all P>0.05). Conclusion: When used in the patients with T2DM undergoing minimally invasive procedures for spine-related diseases, low-dose glucocorticoids can obtain more clinical benefit than high dose, and high dose can lead to raised blood glucose, prolong the LOS, and increase the hospitalization cost. FAU - Qing, A L AU - Qing AL AD - Department of Pain Medicine,West China Hospital, Sichuan University,Chengdu 610041, China. FAU - Lei, X H AU - Lei XH AD - West China School of Public Health, Department of Anesthesiology, West China Fourth Hospital,Sichuan University,Chengdu 610041, China. FAU - Chen, L AU - Chen L AD - Department of Pain Medicine,West China Hospital, Sichuan University,Chengdu 610041, China. FAU - Sun, F G AU - Sun FG AD - Department of Pain Medicine,West China Hospital, Sichuan University,Chengdu 610041, China. FAU - Weng, Y AU - Weng Y AD - Department of Pain Medicine,West China Hospital, Sichuan University,Chengdu 610041, China. FAU - Li, C Y AU - Li CY AD - Department of Clinical Research Management,West China Hospital,Sichuan University,Chengdu 610041, China. FAU - Ye, L AU - Ye L AD - Department of Pain Medicine,West China Hospital, Sichuan University,Chengdu 610041, China. FAU - Wen, C B AU - Wen CB AD - Department of Pain Medicine,Sichuan Academy of Medical Sciences & Sichuan Province People's Hospital,Chengdu 610072, China. LA - chi PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Glucocorticoids) SB - IM MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Glucocorticoids MH - Humans MH - Minimally Invasive Surgical Procedures MH - Pain MH - Retrospective Studies MH - Treatment Outcome EDAT- 2021/11/23 06:00 MHDA- 2021/11/25 06:00 CRDT- 2021/11/22 22:12 PHST- 2021/11/22 22:12 [entrez] PHST- 2021/11/23 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] AID - 10.3760/cma.j.cn112137-20210726-01663 [doi] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2021 Nov 23;101(43):3554-3558. doi: 10.3760/cma.j.cn112137-20210726-01663.