Scrimgeour Laura A, Potz Brittany A, Sellke Frank W, Abid M Ruhul
Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA.
Clin Med Res (N Y). 2017 Nov;6(6):173-176. Epub 2017 Nov 24.
Perioperative glucose control is highly important, particularly for patients undergoing cardiac surgery. Variable glucose levels before, during and after cardiac surgery lead to increased post-operative complications and patient mortality. [1] Current methods for intensive monitoring and treating hyperglycemia in the Intensive Care Unit (ICU) usually involve hourly glucose monitoring and continuous intravenous insulin infusions. With the advent of more accurate subcutaneous glucose monitoring systems, the role of improved glucose control with newer systems deserves consideration for widespread adoption.
围手术期血糖控制非常重要,尤其是对于接受心脏手术的患者。心脏手术前、手术期间和手术后血糖水平波动会导致术后并发症增加和患者死亡率上升。[1] 目前在重症监护病房(ICU)中强化监测和治疗高血糖的方法通常包括每小时进行血糖监测以及持续静脉输注胰岛素。随着更精确的皮下血糖监测系统的出现,采用更新系统改善血糖控制的作用值得考虑广泛应用。