外科手术患者的血糖管理

Perioperative Glycemic Control of Diabetic Patients

随着糖尿病患患者数的迅速增加,需要接受外科手术治疗的糖尿病患者也越来越多。糖尿病患者的血糖控制与外科手术相互影响,一方面,手术应激可进一步加重糖尿病患者的糖代谢紊乱;另一方面,合并糖尿病使患者发生围手术期并发症甚至死亡的风险大大增加。因此,对糖尿病患者进行完整的术前评估,良好的术前、术中、术后血糖管理是糖尿病患者手术顺利进行、平稳渡过围手术期、改善预后的重要保证。

Today, more and more patients with diabetes mellitus are requiring surgical intervention. Not only the metabolic disturbance of carbohydrate will be aggravated by surgical stress, but also the risk of perioperative complication and mortality has been greatly increased in patients with diabetes. Therefore, a complete preoperative assessment and good blood glucose management of preoperative, intraoperative and postoperative are important guarantees for diabetic patients to undergo surgery and get through the perioperative period smoothly.