胰岛素治疗时机对严重多发伤合并应激性高血糖患者预后的影响
被引量:6
摘要
应激性高血糖作为严重多发伤患者不良预后的预警指标,在多发伤救治中日益得到认同。临床上胰岛素治疗则作为控制血糖的主要手段,但在胰岛素使用时机上尚存在争议。笔者通过对严重多发伤合并应激性高血糖的患者进行监测,分析不同时机使用胰岛素治疗时其预后的影响。
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2010年第10期909-911,共3页
Chinese Journal of Trauma
参考文献18
-
1McCowen KC,Malhotra A,Bistrian BR.Stress-induced hyperglycemia.Crit Care Med,2001,17(1):107 -124.
-
2Robinson LE,van Soeren MH.Insulin resistance and hyperglycemia in critical illness:role of insulin in glycemic control.AACN,2004,15(1):45 -62.
-
3Montori VM,Bistrian BR,McMahon MM.Hyperglycemia in acutely ill patients.JAMA,2002,288(17):2167-2196.
-
4Thorell A,Nygren J,Hirshman MF,et al.Surgery induced insulin resistance in human patients:relation to glucose transport and utilization.Am J Physiol,1999,276(4 Pt 1):754-761.
-
5Marik PE,Raghavan M.Stress-hyperglycemia,insulin and immunomodulation in sepsis.Intensive Care Med,2004,30(5):748 -756.
-
6van den Berghe G,Wouters P,Weekers F,et al.Intensive insulin therapy in the critically ill patients.N Engl J Med,2001,345(19):1359-1367.
-
7Krinsley JS.Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients.Mayo Clin Proc,2003,78(12):1471-1478.
-
8Knans WA,Draper EA,Wagner DP,et al.APACHE Ⅱ:aseverity of disease classification system.Crit Care Med,1985,13(10):818 -829.
-
9Finney SJ,Zekveld C,Elia A,et al.Glucose control and mortality in critically ill patients.JAMA,2003,290 (15):2041 -2047.
-
10Mizock BA.Blood glucose management during critical illness.Rev Endcr Metab Disord,2003,4 (2):187-194.
同被引文献67
-
1赵晓东,孟海东,姚咏明.创伤后胰岛素抵抗与血糖控制治疗[J].中国危重病急救医学,2006,18(12):766-768. 被引量:19
-
2Grote S,Bocker W,Mutschler W,et al. Diagnostic value of the Glasgow Coma Scale for traumatic brain injury in 18002 patients with severe multiple injuries[J]. Journal of Neurotrauma, 2011,28 (4) :287-289.
-
3van den Berghe G, Wouter P, weekers F, et al. Intensive insulin the ra- py in critically ill patients [ J ]. N Eng J Med, 2001,345 (19) :1359- 1367.
-
4Pinto Junior VL, Rebelo MC, Gomes RN,et al. IL45 and IL-8 in cere- brospinal fluid from patients with aseptic meningitis and bacterial men- ingitis :their potential role as a marker for differential diagnosis [ J ]. Braz J Infect Dis,2011,15(2) :156-158.
-
5Kauffmann RM, Hayes RM, VanLaeken AH, et al. Hypocaloric enteral nutrition protects against hypoglycemia associated withintensive insulin therapy better than intravenous dextrose[ J]. Am Surg,2014,80( 1 l ) : 1106-1111.
-
6Mousavi SN, Nematy M, Norouzy A, et al. Comparison of intensive in- sulin therapy versus conventional glucose control in traumatic brain in- jury patients on parenteral nutrition : A pilot randomized clinical trial [J]. J Res Med Sci,2014,19(5) :420-425.
-
7徐伟华,杨阮蓉,张剑杰.危重病高血糖与强化胰岛素治疗现状[J].中国急救医学,2007,27(11):1044-1046. 被引量:26
-
8Griesdale DE, De Souza RJ, Van Dam RM,et al. Intensive insulin therapyand mortality among critically ill patients : a meta-analysis includingNICE-SUGAR study data[J]. Can Med Assoc J,2009,180(8) :821-827.
-
9Kerby JD,Griffin RL,Maclennan P,et al. Stress-Induced hyperglycemia,not diabetic hyperglycemia,is associated with higher mortality in trauma[J].Ann Surg,2012,256(3);446-452.
-
10Mraovic B,Suh D, Jacovides C ,et al. Pa,perioperative hyperglycemia andpostoperative infection after lower limb arthroplasty [J]. J Diabetes SciTechnol,2011,5(2):412-418.
引证文献6
-
1叶安,石斌.高渗氯化钠和胰岛素对多发性创伤的早期复苏临床分析[J].中国现代医生,2014,52(5):153-156.
-
2何鹏,周青山.强化胰岛素治疗对严重多发伤患者炎症因子水平及预后的影响[J].临床外科杂志,2015,23(2):122-124. 被引量:2
-
3张艳艳,唐丹.ICU内应激性高血糖患者胰岛素治疗及护理[J].糖尿病新世界,2015,35(17):10-12. 被引量:3
-
4麦惠强.胰岛素强化治疗对多发伤患者炎性递质水平及预后的影响[J].现代中西医结合杂志,2016,25(4):401-402. 被引量:2
-
5周涛,唐召力.创伤后应激性高血糖干预现状及进展[J].现代医药卫生,2016,32(19):3008-3009. 被引量:1
-
6周涛,段政萍,李树炎.老年多发伤合并应激性高血糖的院前血糖干预[J].海南医学,2017,28(4):643-644. 被引量:5
二级引证文献13
-
1于瑛.品管圈对提高糖尿病患者胰岛素注射正确规范达标率的效果评价[J].世界临床医学,2017,11(6):189-189.
-
2徐献志.急诊多发伤患者血糖和C反应蛋白水平与预后的关系研究[J].河南医学研究,2016,25(4):644-646. 被引量:2
-
3景晓敏,赵群都.胰岛素强化治疗对多发伤伴应激性糖尿病患者相关指标的影响[J].中国药房,2017,28(12):1613-1615. 被引量:7
-
4赖秀威,潘小东.严重创伤后早期胰岛素强化治疗的临床价值体会[J].浙江创伤外科,2018,23(3):510-511.
-
5林志连.早期综合护理对PICU应激性高血糖患儿治疗转归的应用[J].中国卫生标准管理,2018,9(20):184-185. 被引量:4
-
6李晓旋.ICU糖尿病患者应激性高血糖胰岛素强化治疗的监测与护理对策分析[J].糖尿病新世界,2018,21(24):141-142. 被引量:5
-
7黄彪,李建国,黄发贵.多发伤的诊疗进展[J].医学综述,2019,25(5):973-977. 被引量:19
-
8刘薇,于燕.危重症患者使用呼吸机转运院前急救的护理方式应用及心得体会[J].中国医药指南,2019,17(19):264-265. 被引量:5
-
9刘薇,于燕.探讨院前急救护理流程在多发伤患者急救中的应用与效果评价[J].中国医药指南,2019,17(23):276-277. 被引量:8
-
10陈慧婧,朱亦堃.感染指标及血糖在儿童严重过敏反应中的变化及临床意义[J].山西医药杂志,2020,49(9):1132-1135. 被引量:1
-
1孙燕.癌痛治疗中应注意的几个问题[J].抗癌,1999(3):11-11.
-
2李银萍,李志娟,王晓歌.血液透析患者动静脉内瘘的护理体会[J].基层医学论坛,2009,13(12):312-312. 被引量:8
-
3郑巧珍,杜曙光.血液透析患者高位动静脉瘘的临床护理[J].当代护士(下旬刊),2015,22(9):116-117. 被引量:2
-
4李振荣,秦洁,文素芳,邹国耀,李毅.膝关节镜手术中止血带不同使用时机的效果观察[J].护理管理杂志,2016,16(2):143-144. 被引量:2
-
5王晶.护理干预利尿剂使用时机对肝硬化腹水的影响[J].中国误诊学杂志,2009,9(29):7078-7079. 被引量:2
-
6朱梅芳,朱晓华,丁军,刘学芬,王瑞莲.延长糖尿病肾病患者动静脉内瘘使用寿命的护理体会[J].长江大学学报(自科版)(下旬),2008,5(1):56-57. 被引量:5
-
7谷书华.延长糖尿病肾病患者动静脉内瘘使用寿命的护理体会[J].航空航天医学杂志,2014,25(1):107-108. 被引量:3
-
8雷万生.胰岛素抵抗与多器官功能障碍综合征[J].中国全科医学,2008,11(14):1226-1229.
-
9杨效梅,王玉双,吴燕平.维持性血液透析患者人造血管内瘘护理[J].吉林医学,2011,32(10):2045-2046. 被引量:6
-
10邹昌洋,李振宇,徐开林.急性移植物抗宿主病预警指标的研究进展[J].国际输血及血液学杂志,2015,38(3):257-261.