心肺复苏期间的血糖管理  

Blood Sugar Management During Cardiopulmonary Resuscitation

作　　者：张丽明[1] 石如海[1] 

机构地区：[1]中国人民解放军第535医院内1科,湖南怀化418008

出　　处：《医学综述》2007年第18期1403-1405,共3页Medical Recapitulate

摘　　要：在心肺复苏期中,即使患者既往没有糖代谢紊乱的基础病史,应激性高血糖亦非常普遍。抗调节激素和细胞因子,如胰高血糖素、生长激素、儿茶酚胺和糖皮质激素以及肿瘤坏死因子-α和白细胞介素-1的大量分泌是产生应激性高血糖的主要原因;应激性高血糖导致感染性并发症的风险显著增加。近年来已有研究显示,通过控制血糖水平<6.1mmol/L,强化胰岛素治疗能够降低感染的发生率和改善机体物质及能量代谢,进而改善患者的预后。Stress hyperglycemia is very common during cardiopulmonary resuscitation although the patients has no basic history of sugar metabolic disturbance.Quantity secretion of anti-regulatory hormone and cytokines are the main cause resulting in stress hyperglycemia,which includes hyperglycemia-glycogenollytic factors,growth hormone,catecholamine,glucocorticosteroid,tumor necrosis factor-αand IL-1.Risk combined with infection resulting from stress hyperglycemia is increased greatly.Recent researches showed that intensified insulin treatment can lower incidence of infection,promote substance and energy metabolism and even promote patients＇ prognosis by controling the blood sugar level under 6.1mmol/L.

关 键 词：心肺复苏 应激性高血糖 强化胰岛素治疗 

分 类 号：R541.4[医药卫生—心血管疾病]