重症患者的强化胰岛素治疗研究进展

Progress in Intensive Insulin Therapy in Critical Illness

重症患者的强化胰岛素治疗已引起越来越多的关注,但其疗效却存在较大的争议。现就重症患者强化胰岛素治疗的现状及其存在的一些争议,如目标血糖范围、获益人群、血糖监测方法、胰岛素方案、营养支持方式及药物影响予以综述。强化胰岛素治疗是否对重症患者的预后有改善,还需进一步研究证实。

The intensive insulin therapy in critical illness has attracted much attention,but its effect is controversial.This article discusses the treatment status and some hot issues of the intensive insulin therapy in critical illness,such as.target glucose ranges,benefit people,glucose management protocols,insulin protocols,nutrition supports and drug influence,and etc.