Russo Nicholas
Intensive Care Unit, Medina General Hospital, 1000 E. Washington St, Medina, OH 44256, USA.
Anesthesiol Clin. 2012 Sep;30(3):445-66. doi: 10.1016/j.anclin.2012.07.007.
Perioperative hyperglycemia has potential significant adverse consequences of increased mortality and morbidity including surgical site infection, renal insufficiency and anemia requiring transfusion. Both diabetic and non-diabetic patients are affected adversely by perioperative hyperglycemia. However, these two subgroups do not necessarily benefit equally from perioperative glycemic control. Moreover, ideal target glucose range as well as the appropriate patient population(s) for whom glycemic control offers the most benefit have yet to be fully elucidated. However, there are clear potential adverse consequences of tight control such as hypoglycemia.
围手术期高血糖具有增加死亡率和发病率的潜在重大不良后果，包括手术部位感染、肾功能不全和需要输血的贫血。糖尿病患者和非糖尿病患者都会受到围手术期高血糖的不利影响。然而，这两个亚组不一定能从围手术期血糖控制中同等程度地获益。此外，理想的目标血糖范围以及血糖控制最有益的合适患者群体尚未完全阐明。然而，严格控制血糖存在明显的潜在不良后果，如低血糖。
