Mendez Carlos E, Umpierrez Guillermo E
Diabetes Spectr. 2014 Aug;27(3):180-8. doi: 10.2337/diaspect.27.3.180.
In Brief Hyperglycemia in the hospital setting affects 38-46% of noncritically ill hospitalized patients. Evidence from observational studies indicates that inpatient hyperglycemia, in patients with and without diabetes, is associated with increased risks of complications and mortality. Substantial evidence indicates that correction of hyperglycemia through insulin administration reduces hospital complications and mortality in critically ill patients, as well as in general medicine and surgery patients. This article provides a review of the evidence on the different therapies available for hyperglycemia management in noncritically ill hospitalized patients.
简而言之，医院环境中的高血糖影响38%-46%的非危重症住院患者。观察性研究的证据表明，无论有无糖尿病，住院患者的高血糖都与并发症和死亡风险增加相关。大量证据表明，通过胰岛素给药纠正高血糖可降低危重症患者以及普通内科和外科患者的医院并发症和死亡率。本文综述了非危重症住院患者高血糖管理可用的不同治疗方法的证据。
