心脏手术患者围手术期高血糖和糖尿病的管理。
Perioperative Management of Hyperglycemia and Diabetes in Cardiac Surgery Patients.
机构信息
Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, 69 Jesse Hill Jr Drive, Glenn Building, Suite 202, Atlanta, GA 30303, USA.
Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, 69 Jesse Hill Jr Drive, Glenn Building, Suite 202, Atlanta, GA 30303, USA.
出版信息
Endocrinol Metab Clin North Am. 2018 Mar;47(1):203-222. doi: 10.1016/j.ecl.2017.10.005.
Abstract
Perioperative hyperglycemia is common after cardiac surgery, reported in 60% to 90% of patients with diabetes and in approximately 60% of patients without history of diabetes. Many observational and prospective randomized trials in critically-ill cardiac surgery patients support a strong association between hyperglycemia and poor clinical outcome. Despite ongoing debate about the optimal glucose target, there is strong agreement that improved glycemic control reduces perioperative complications.
摘要
心脏手术后围手术期高血糖很常见，有糖尿病病史的患者中报告发生率为 60% 至 90%，无糖尿病病史的患者中约为 60%。许多重症心脏手术患者的观察性和前瞻性随机试验支持高血糖与不良临床结局之间存在密切关联。尽管关于最佳血糖目标仍存在争议，但一致认为改善血糖控制可减少围手术期并发症。
相似文献
1
Perioperative Management of Hyperglycemia and Diabetes in Cardiac Surgery Patients.心脏手术患者围手术期高血糖和糖尿病的管理。
Endocrinol Metab Clin North Am. 2018 Mar;47(1):203-222. doi: 10.1016/j.ecl.2017.10.005.
2
[Repercussions and management of perioperative hyperglycemia in cardiac surgery].[心脏手术围手术期高血糖的影响及管理]
Rev Esp Anestesiol Reanim. 2009 May;56(5):299-311. doi: 10.1016/s0034-9356(09)70399-8.
3
Perioperative Management of the Diabetic Patient Referred to Cardiac Surgery.接受心脏手术的糖尿病患者的围手术期管理。
Braz J Cardiovasc Surg. 2018 Nov-Dec;33(6):618-625. doi: 10.21470/1678-9741-2018-0147.
4
Importance of perioperative blood glucose management in cardiac surgical patients.
Asian Cardiovasc Thorac Ann. 2007 Dec;15(6):534-8. doi: 10.1177/021849230701500621.
5
Diabetes Is Associated With Reduced Stress Hyperlactatemia in Cardiac Surgery.糖尿病与心脏手术应激性高乳酸血症减少有关。
Diabetes Care. 2018 Mar;41(3):469-477. doi: 10.2337/dc17-1554. Epub 2017 Dec 20.
6
Acute cellular insulin resistance and hyperglycemia associated with hypophosphatemia after cardiac surgery.
A A Case Rep. 2015 Jan 15;4(2):22-5. doi: 10.1213/XAA.0000000000000112.
7
Tight glycemic control protects the myocardium and reduces inflammation in neonatal heart surgery.严格的血糖控制可保护心肌并减少新生儿心脏手术中的炎症反应。
Ann Thorac Surg. 2010 Jul;90(1):22-9. doi: 10.1016/j.athoracsur.2010.03.093.
8
Insulin therapy in cardiac surgery.心脏手术中的胰岛素治疗。
Curr Diabetes Rev. 2014;10(4):251-7. doi: 10.2174/1573399810666140918120228.
9
Critical illness hyperglycemia in pediatric cardiac surgery.小儿心脏手术中的危重病性高血糖症
J Diabetes Sci Technol. 2012 Jan 1;6(1):29-36. doi: 10.1177/193229681200600105.
10
[Blood glucose control during cardiac surgery. Report of the Emergency Council of the Argentine Society of Cardiology].
Medicina (B Aires). 2012;72(1):58-62.
引用本文的文献
1
Relationship between stress hyperglycemia ratio of one-year mortality in patients with heart failure: Analysis of the MIMIC-IV database.心力衰竭患者应激性高血糖与一年死亡率的关系：MIMIC-IV数据库分析
PLoS One. 2025 Aug 8;20(8):e0328812. doi: 10.1371/journal.pone.0328812. eCollection 2025.
2
A distributional reinforcement learning model for optimal glucose control after cardiac surgery.一种用于心脏手术后最佳血糖控制的分布式强化学习模型。
NPJ Digit Med. 2025 May 27;8(1):313. doi: 10.1038/s41746-025-01709-9.
3
Perioperative glycemic control in patients undergoing cardiac surgery.心脏手术患者围手术期的血糖控制
Kardiochir Torakochirurgia Pol. 2025 Mar;22(1):44-52. doi: 10.5114/kitp.2025.148548. Epub 2025 Mar 17.
4
Association of stress hyperglycemia ratio with short-term and long-term prognosis in patients undergoing coronary artery bypass grafting across different glucose metabolism states: a large-scale cohort study.不同糖代谢状态下冠状动脉搭桥术患者应激性高血糖比值与短期和长期预后的关系：一项大规模队列研究
Cardiovasc Diabetol. 2025 Apr 24;24(1):179. doi: 10.1186/s12933-025-02682-z.
5
Risk factors and clinical outcome of postoperative hyperglycemia after cardiac surgery with cardiopulmonary bypass.体外循环心脏手术后高血糖的危险因素及临床结局
Front Cardiovasc Med. 2025 Apr 7;12:1479922. doi: 10.3389/fcvm.2025.1479922. eCollection 2025.
6
Rationale and strategies for improving glycaemic control in diabetic patients undergoing cardiac surgery: a narrative review.改善接受心脏手术的糖尿病患者血糖控制的基本原理和策略：一项叙述性综述
J Thorac Dis. 2024 Nov 30;16(11):8088-8102. doi: 10.21037/jtd-24-1112. Epub 2024 Nov 6.
7
Comparative Analysis of Metabolomic Responses in On-Pump and Off-Pump Coronary Artery Bypass Grafting.体外循环和非体外循环冠状动脉旁路移植术中代谢组学反应的比较分析
Ann Thorac Cardiovasc Surg. 2024;30(1). doi: 10.5761/atcs.oa.24-00126.
8
Monocytes perturbation implicated in the association of stress hyperglycemia with postoperative poor prognosis in non-diabetic patients with Stanford type-A acute aortic dissection.单核细胞功能紊乱与应激性高血糖在非糖尿病 Stanford 型急性主动脉夹层患者术后不良预后中的关系。
Cardiovasc Diabetol. 2024 Oct 26;23(1):379. doi: 10.1186/s12933-024-02468-9.
9
The Performance of Continuous Glucose Monitoring During the Intraoperative Period: A Scoping Review.术中持续葡萄糖监测的性能：一项范围综述
J Clin Med. 2024 Oct 16;13(20):6169. doi: 10.3390/jcm13206169.
10
Association between hyperglycemia at ICU admission and postoperative acute kidney injury in patients undergoing cardiac surgery: Analysis of the MIMIC-IV database.心脏手术患者重症监护病房入院时高血糖与术后急性肾损伤的关联：MIMIC-IV数据库分析
J Intensive Med. 2024 Jun 25;4(4):526-536. doi: 10.1016/j.jointm.2024.04.004. eCollection 2024 Oct.
本文引用的文献
1
COMPARISON OF EFFICACY AND SAFETY OF GLARGINE AND DETEMIR INSULIN IN THE MANAGEMENT OF INPATIENT HYPERGLYCEMIA AND DIABETES.甘精胰岛素与地特胰岛素治疗住院患者高血糖及糖尿病的疗效与安全性比较
Endocr Pract. 2017 Sep;23(9):1059-1066. doi: 10.4158/EP171804.OR. Epub 2017 Jul 6.
2
Glucose Control, Diabetes Status, and Mortality in Critically Ill Patients: The Continuum From Intensive Care Unit Admission to Hospital Discharge.危重症患者的血糖控制、糖尿病状态及死亡率：从重症监护病房入院到出院的连续过程
Mayo Clin Proc. 2017 Jul;92(7):1019-1029. doi: 10.1016/j.mayocp.2017.04.015. Epub 2017 Jun 20.
3
Perioperative Hyperglycemia Management: An Update.围手术期高血糖管理：最新进展
Anesthesiology. 2017 Mar;126(3):547-560. doi: 10.1097/ALN.0000000000001515.
4
14. Diabetes Care in the Hospital.14. 医院中的糖尿病护理。
Diabetes Care. 2017 Jan;40(Suppl 1):S120-S127. doi: 10.2337/dc17-S017.
5
Mortality Among Hospitalized Patients With Hypoglycemia: Insulin Related and Noninsulin Related.低血糖住院患者的死亡率：胰岛素相关和非胰岛素相关。
J Clin Endocrinol Metab. 2017 Feb 1;102(2):416-424. doi: 10.1210/jc.2016-2653.
6
Round Table Discussion on Inpatient Use of Continuous Glucose Monitoring at the International Hospital Diabetes Meeting.国际医院糖尿病会议上关于住院患者使用持续血糖监测的圆桌讨论
J Diabetes Sci Technol. 2016 Aug 22;10(5):1174-81. doi: 10.1177/1932296816656380. Print 2016 Sep.
7
Inpatient hyperglycemia management: A practical review for primary medical and surgical teams.住院患者高血糖管理：初级医疗和外科团队实用综述。
Cleve Clin J Med. 2016 May;83(5 Suppl 1):S34-43. doi: 10.3949/ccjm.83.s1.06.
8
Comparison of Basal-Bolus and Premixed Insulin Regimens in Hospitalized Patients With Type 2 Diabetes.2型糖尿病住院患者基础-餐时胰岛素方案与预混胰岛素方案的比较
Diabetes Care. 2015 Dec;38(12):2211-6. doi: 10.2337/dc15-0160. Epub 2015 Oct 12.
9
Inpatient Use of Computer-Guided Insulin Devices Moving into the Non-Intensive Care Unit Setting.计算机辅助胰岛素装置在非重症监护病房环境中的住院患者使用情况。
Diabetes Technol Ther. 2015 Oct;17(10):673-5. doi: 10.1089/dia.2015.0213.
10
The impact of hyperglycemia and obesity on hospitalization costs and clinical outcome in general surgery patients.高血糖和肥胖对普通外科患者住院费用及临床结局的影响。
J Diabetes Complications. 2015 Nov-Dec;29(8):1177-82. doi: 10.1016/j.jdiacomp.2015.07.027. Epub 2015 Aug 4.
Zotero 插件