围手术期连续葡萄糖监测临床应用进展  

Progress in the clinical application of perioperative continuous glucose monitoring

作　　者：吴琦玥 段怡 高志峰 张欢[1] Wu Qiyue;Duan Yi;Gao Zhifeng;Zhang Huan(Department of Anesthesiology,Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院麻醉科,清华大学临床医学院,北京102218

出　　处：《国际麻醉学与复苏杂志》2025年第2期188-191,共4页International Journal of Anesthesiology and Resuscitation

基　　金：北京市医院管理中心培育计划(PX2021040);北京清华长庚医院青年启动基金(12021C1005)。

摘　　要：围手术期血糖管理对于减少患者术后并发症和改善预后具有重要意义。与传统围手术期血糖监测方法比较,连续葡萄糖监测(CGM)能连续获得患者血糖信息,更加全面地了解患者围手术期血糖波动情况,及时发现高血糖、低血糖及血糖变异性升高等情况。文章对围手术期血糖紊乱相关不良事件及CGM系统的临床应用情况和评价标准进行综述,为探索术中CGM系统在围手术期血糖管理中的临床价值、改善患者手术预后提供参考。Effective perioperative blood glucose management is crucial for reducing postoperative complications and improving patient outcomes.Unlike traditional perioperative blood glucose testing methods,continuous glucose monitoring(CGM)offers real‑time data on patients'blood glucose levels,providing a comprehensive view of perioperative fluctuations.This allows for the timely detection of hyperglycemia,hypoglycemia,and increased blood glucose variability.In this review,we summarize the adverse events associated with perioperative dysglycemia and discuss the clinical applications and evaluation criteria for CGM systems.We aim to explore the clinical value of intraoperative CGM in managing perioperative glucose and enhancing surgical outcomes of patients.

关 键 词：围手术期 血糖 连续监测 

分 类 号：R587.1[医药卫生—内分泌]