危重病人的血糖监测与控制

肿瘤和外周血管手术、心胸手术等?休克状态,尤其败血症引起的休克等?急性心肌梗死、急性中风或颅脑损伤等Р胃肠外营养患者?因手术需胃肠外营养患者Р1. Marie-Reine Losser, et al. Critical Care 2010, 14(231):1-12 2. Fahy BG, et al. Crit Care Med 2009; 37:1769 –1776 ?3. Mesotten D,et al. Best Practice & Research Clinical Anaesthesiology 23 (2009) 421–429?4. Furnary AP, et al. Best Practice & Research Clinical Anaesthesiology 23 (2009) 411–420?5. Dungan KM,et al. Lancet 2009; 373: 1798–807 6.Scurlock c, et al. Metabolic Care 2011, 14:209–212?7. Block CD, et al. Current Diabetes Reviews, 2008, 4, 234-244 8.赵学英,阙呈立,邓兰芬.中国护理杂志, 2008; 43(1):62-64Р高血糖的危害Р降低免疫功能和增加感染性并发症,成为独立因素影响危重症预后Р长期慢性高血糖所致心脑肾血管损害,视网膜病变和神经病变Р减慢伤口愈合Р高血糖毒性Р……Р合并高血糖时住院患者死亡率显著增加Р高血糖Р血糖正常Р死亡率(%)Р死亡率(%)Р死亡率(%)Р全部患者Р非ICU患者РICU患者Р*P<0.01Р内外科住院患者?n=1886РUmpierrez GE, et al. J Clin Endocrinol Metab 2002;87:978–982