非急诊手术糖尿病患者围手术期的血糖管理  

Perioperative management of blood glucose in non-emergent surgery patients

作　　者：李强[1] 潘红艳[1] 

机构地区：[1]哈尔滨医科大学附属第二医院内分泌代谢病科,哈尔滨150086

出　　处：《中国实用内科杂志》2010年第9期782-784,共3页Chinese Journal of Practical Internal Medicine

摘　　要：糖尿病(DM)患者由于各种原因会导致围手术期出现高血糖或低血糖,影响伤口愈合。许多研究显示,良好的血糖控制可减少术后感染机会,促进伤口愈合,降低手术的并发症和病死率。择期手术者血糖应控制在7～10mmol/L内为宜(8.5mmol/L左右),而眼科手术者血糖应控制在5.8～6.7mmol/L。术前血糖控制强调个体化,对于老年患者、急性心肌梗死患者、脑出血或脑梗死急性期患者应适当放宽控制目标。本文综述了DM患者术前降糖药物调整、术中和术后血糖控制方案。Summary：High or low blood glucose during perioperative period caused by diabetes may arise from a number of causes and can affect wound healing. Many studies have shown that good management of blood glucose can reduce the chance of postoperative infection, promote wound healing and reduce postoperative complications and mortality. Blood glucose should be controlled within the range of 7 - 10 mmol/L （average 8. 5 mmol/L） for patients with elective surgery,and 5.8 -6. 7 mmol./L for those with eye surgery. The goal of blood control before surgery should be personalized, especially for the elderly, patients with acute myocardial infarction, patients with cere- bral hemorrhage or cerebral infarction. This article describes adjustment of antidiabetic drugs and blood glucose control before,during and after the surgery in diabetic patients.

关 键 词：非急诊手术 围手术期 血糖管理 

分 类 号：R5[医药卫生—内科学]