Thompson Rachel E, Broussard Elizabeth K, Flum David R, Wisse Brent E
Department of Medicine, University of Nebraska Medical Center, 986435 Nebraska Medical Center, Omaha, NE, 68198-6435, USA.
Department of Medicine, University of Washington, Harborview Medical Center, 325 9th Ave, Seattle, WA, 98104, USA.
Curr Diab Rep. 2016 Mar;16(3):32. doi: 10.1007/s11892-016-0722-x.
Hyperglycemia occurs frequently among patients undergoing colorectal surgery and is associated with increased risk of poor clinical outcomes, especially related to surgical site infections. Treating hyperglycemia has become a target of many enhanced recovery after surgery programs developed for colorectal procedures. There are several unique considerations for patients undergoing colorectal surgery including bowel preparations and alterations in oral intake. Focused protocols for those with diabetes and those at risk of hyperglycemia are needed in order to address the specific needs of those undergoing colorectal procedures.
高血糖在接受结直肠手术的患者中经常出现，并且与临床预后不良风险增加相关，尤其是与手术部位感染有关。治疗高血糖已成为许多为结直肠手术制定的术后加速康复计划的目标。接受结直肠手术的患者有几个独特的注意事项，包括肠道准备和口服摄入量的改变。为了满足接受结直肠手术患者的特殊需求，需要针对糖尿病患者和有高血糖风险患者制定专门的方案。
