围术期血糖控制的研究进展

Research Progress in Management of Perioperative Blood Glucose

糖尿病或非糖尿病患者围术期血糖水平的上升导致了发病率和病死率的增加,提高了麻醉管理的难度。充分认识血糖的变化及其调控对保障患者围术期的安全具有重要意义。积极干预围术期血糖的变化,将血糖控制在一定范围内有助于减少并发症的发生。该文就围术期血糖控制的相关问题,如围术期高血糖形成的原因、高血糖对机体的影响及血糖控制的目标与各种措施等相关研究进展予以综述。

The elevation of perieperative blood glucose in diabetic and non-diabetic patients leads to higher morbidity, mortality and more difficult anesthesia management. It＇s of great importance to focus on perioperative blood glucose and thus to safeguard the security of the patients. To actively maintain the level of blood glucose within an acceptable range helps to reduce the incidence of perioperative complications. Here reviews perioperative glycemic control related issues, such as the etiology and the effects of perioperative hyperglycemia, the target and measures for blood glucose control.