血糖相关指标对重症监护室危重患者预后影响的研究进展

Research progress of glycemic indexes on the prognosis of ICU critical patients

近年来血糖相关指标和危重患者预后的关系是重症医学领域的研究热点。控制血糖波动比控制高血糖更重要，避免血糖波动是危重症患者有效控制血糖值的重要策略。反应血糖波动的指标较多，如血糖平均值、血糖变异系数、血糖不稳定指数等。本文将对重症监护室患者血糖相关指标的分类及计算方法、血糖相关指标和危重患者预后的关系展开综述，并对未来如何提高血糖相关指标在临床实际的运用进行展望。

In recent years,the relatinship is hot spot between glycemic indexes and prognosis of critical patients in critical medicine area.To control the fluctuation of blood glucose is more important than to control high blood glucose,so to control the fluctuation is a significant strategy to control the value of blood sugar in critical patients.The indexes reflected blood glucose fluctuation have a lot,such as the mean value of blood glucose,variation coefficient of blood glucose,instability index of blood glucose,etc.This paper will summarize the type and computational method of glycemic indexes and the relationship between glycemic indexes and critical patients prognosis,and prospect how to improve the glycimic indexes in clinic in the future.