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[立场声明:外科手术与糖尿病(2019年更新版)]

[Position statement: surgery and diabetes mellitus (Update 2019)].

作者信息

Fasching Peter, Huber Joakim, Clodi Martin, Abrahamian Heidemarie, Ludvik Bernhard

机构信息

5. Medizinische Abteilung für Endokrinologie, Rheumatologie und Akutgeriatrie, Wilhelminenspital der Stadt Wien, Montlearstraße 37, 1160, Wien, Österreich.

Interne Abteilung mit Akutgeriatrie und Palliativmedizin, Franziskus Spital, Standort Landstraße, Wien, Österreich.

出版信息

Wien Klin Wochenschr. 2019 May;131(Suppl 1):212-217. doi: 10.1007/s00508-019-1459-8.

DOI:10.1007/s00508-019-1459-8
PMID:30980169
Abstract

This position statement reflects the opinion of the Austrian Diabetes Association concerning the perioperative management of patients with diabetes mellitus based on the available scientific evidence. The paper covers necessary preoperative examinations from an internal/diabetological point of view as well as the perioperative metabolic control by means of oral antidiabetics and/or insulin therapy.

摘要

本立场声明基于现有科学证据,反映了奥地利糖尿病协会对糖尿病患者围手术期管理的意见。本文从内科/糖尿病学角度涵盖了必要的术前检查,以及通过口服降糖药和/或胰岛素治疗进行围手术期代谢控制的内容。

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1
[Position statement: surgery and diabetes mellitus (Update 2019)].[立场声明:外科手术与糖尿病(2019年更新版)]
Wien Klin Wochenschr. 2019 May;131(Suppl 1):212-217. doi: 10.1007/s00508-019-1459-8.
2
[Position statement: surgery and diabetes mellitus].[立场声明:外科手术与糖尿病]
Wien Klin Wochenschr. 2016 Apr;128 Suppl 2:S179-83. doi: 10.1007/s00508-016-0982-0.
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[Position statement: Surgery and diabetes mellitus].[立场声明:外科手术与糖尿病]
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[Position statement: surgery and diabetes mellitus (Update 2023)].[立场声明:外科手术与糖尿病(2023年更新版)]
Wien Klin Wochenschr. 2023 Jan;135(Suppl 1):256-271. doi: 10.1007/s00508-022-02121-z. Epub 2023 Apr 20.
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Preprocedure and preoperative management of diabetes mellitus.糖尿病的术前和手术前管理。
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[Insulin pump therapy in children, adolescents and adults].[儿童、青少年及成人的胰岛素泵治疗]
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[Hospital diabetes management (Update 2019)].[医院糖尿病管理(2019年更新版)]
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[Guidelines for insulin pump therapy in children and adults].[儿童和成人胰岛素泵治疗指南]
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[Insulin therapy of diabetes].[糖尿病的胰岛素治疗]
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New Diabetic Medication Sodium-Glucose Cotransporter-2 Inhibitors Can Induce Euglycemic Ketoacidosis and Mimic Surgical Diseases: A Case Report and Review of Literature.新型糖尿病药物钠-葡萄糖协同转运蛋白2抑制剂可诱发正常血糖性酮症酸中毒并酷似外科疾病:一例报告及文献复习
Front Surg. 2022 Mar 24;9:828649. doi: 10.3389/fsurg.2022.828649. eCollection 2022.
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[Treatment of diabetes mellitus in perioperative medicine-an update].围手术期医学中糖尿病的治疗——最新进展
Anaesthesist. 2021 Jun;70(6):451-465. doi: 10.1007/s00101-020-00875-7. Epub 2020 Nov 3.

本文引用的文献

1
Glycemic Control and Risk of Infections Among People With Type 1 or Type 2 Diabetes in a Large Primary Care Cohort Study.一项大型初级保健队列研究中 1 型或 2 型糖尿病患者的血糖控制与感染风险。
Diabetes Care. 2018 Oct;41(10):2127-2135. doi: 10.2337/dc18-0287. Epub 2018 Aug 13.
2
Influence of Diabetes on Trends in Perioperative Cardiovascular Events.糖尿病对围手术期心血管事件趋势的影响。
Diabetes Care. 2018 Jun;41(6):1268-1274. doi: 10.2337/dc17-2046. Epub 2018 Apr 4.
3
Perioperative hyperglycemia and neurocognitive outcome after surgery: a systematic review.
手术前后高血糖与神经认知结果:系统综述。
Minerva Anestesiol. 2018 Oct;84(10):1178-1188. doi: 10.23736/S0375-9393.18.12400-X. Epub 2018 Mar 27.
4
The Presence of Diabetes and Higher HbA Are Independently Associated With Adverse Outcomes After Surgery.糖尿病的存在和较高的糖化血红蛋白水平与手术治疗后不良结局独立相关。
Diabetes Care. 2018 Jun;41(6):1172-1179. doi: 10.2337/dc17-2304. Epub 2018 Mar 26.
5
Early glycemia and mortality in critically ill septic patients: Interaction with insulin-treated diabetes.危重症脓毒症患者的早期血糖与死亡率:与胰岛素治疗糖尿病的相互作用。
J Crit Care. 2018 Jun;45:170-177. doi: 10.1016/j.jcrc.2018.03.012. Epub 2018 Mar 3.
6
Perioperative management of adult diabetic patients. The role of the diabetologist.成人糖尿病患者的围手术期管理。糖尿病专家的作用。
Anaesth Crit Care Pain Med. 2018 Jun;37 Suppl 1:S37-S38. doi: 10.1016/j.accpm.2017.10.009. Epub 2018 Jan 6.
7
Sodium-glucose co-transporter-2 inhibitors and diabetic ketoacidosis: An updated review of the literature.钠-葡萄糖共转运蛋白 2 抑制剂与糖尿病酮症酸中毒:文献更新综述。
Diabetes Obes Metab. 2018 Jan;20(1):25-33. doi: 10.1111/dom.13012. Epub 2017 Jul 6.
8
Perioperative Statin Therapy for Patients Undergoing Coronary Artery Bypass Grafting.冠状动脉旁路移植术患者的围手术期他汀类药物治疗
Ann Thorac Surg. 2016 Feb;101(2):818-25. doi: 10.1016/j.athoracsur.2015.09.070.
9
Diabetes and the Association of Postoperative Hyperglycemia With Clinical and Economic Outcomes in Cardiac Surgery.糖尿病及心脏手术中术后高血糖与临床和经济结局的关联
Diabetes Care. 2016 Mar;39(3):408-17. doi: 10.2337/dc15-1817. Epub 2016 Jan 19.
10
Diabetes and Risk of Surgical Site Infection: A Systematic Review and Meta-analysis.糖尿病与手术部位感染风险:一项系统评价与荟萃分析
Infect Control Hosp Epidemiol. 2016 Jan;37(1):88-99. doi: 10.1017/ice.2015.249. Epub 2015 Oct 27.