Levesque Celia M
Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, TX 77230-1402, USA.
Crit Care Nurs Clin North Am. 2013 Mar;25(1):21-9. doi: 10.1016/j.ccell.2012.11.007. Epub 2012 Nov 28.
Proper care of patients with diabetes during the perioperative period is crucial for preventing acute complications such as hyperglycemia, hypoglycemia, diabetic ketoacidosis, hyperosmolar hyperglycemic state, dehydration, and electrolyte imbalances. Many factors influence the optimal care plan, including the usual home diabetes regimen, the level of diabetes control before surgery, the surgery type, the duration of surgery, and the amount of time the patient will be fasting. An optimal plan of care is based on a thorough presurgical assessment and prescribing a regimen that will minimize acute complications. This article discusses recommendations for target blood glucose and diabetes medication adjustment during the perioperative period.
围手术期对糖尿病患者进行恰当护理对于预防急性并发症至关重要，如高血糖、低血糖、糖尿病酮症酸中毒、高渗高血糖状态、脱水和电解质失衡。许多因素会影响最佳护理方案，包括患者日常在家的糖尿病治疗方案、手术前的糖尿病控制水平、手术类型、手术时长以及患者禁食时间。最佳护理方案基于全面的术前评估，并制定能将急性并发症降至最低的治疗方案。本文讨论围手术期血糖目标及糖尿病药物调整的建议。
