《2020年版围术期血糖管理专家共识》解读

2022-01-15 河北医科大学学报

围术期血糖异常通常分为高血糖、低血糖及血糖波动不稳三类情况。其中围术期血糖升高严重威胁患者预后,在增加术后感染概率、延迟伤口愈合基础上,这类患者将伴随较高的并发症发生率和病死率。

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2022-01-15

简要介绍：

围术期血糖异常通常分为高血糖、低血糖及血糖波动不稳三类情况。其中围术期血糖升高严重威胁患者预后,在增加术后感染概率、延迟伤口愈合基础上,这类患者将伴随较高的并发症发生率和病死率。围术期低血糖症状常常由于术后麻醉药物的残留而导致病情掩盖、延误抢救。随着糖尿病患病率逐年上升,术前未经确诊的糖尿病患者不在少数,伴随各类新型降糖药物的发现和胰岛素泵的使用要求临床医师在术前、术中、术后各个阶段对不同病情(危重、普通)的患者做到个体化管理。因此中华医学会麻醉学分会在2014年制订的《围术期血糖管理专家共识》基础上进行最新更新并制定了2020年版专家共识。该共识对围术期全程的评估、监测、过渡与转归各个方面进行具体分析并制定相应指导方案。本文在结合共识内容基础上,应用最新的国内外实验数据对共识内推荐意见进行具体论证分析,以加深临床医师对围术期血糖管理的认识和理解,提高临床医师对围术期血糖变化“分病情、分阶段”制定不同方案的理念,从而减少围术期患者的血糖相关并发症的出现,提高预后质量。

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2022-05-12 湘雅科教

学习学习再学习！

41 0
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2022-03-29 ms8000000533913080

太好了

42 0
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2022-02-21 ms4000001672876733

太好了

95 0
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2022-02-21 ms4000001672876733

很不错

0 0
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2022-02-18 1351fc2f66m

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