摘要
近年来，有关重症监护病房（ICU）患者高血糖处理的问题受到了越来越多的关注。流行病学资料显示，ICU患者中严重的高血糖通常伴有更高的死亡率和合并症。一些关于ICU患者强化血糖控制的大规模临床试验相继开展，但是研究结论却不完全相同。最新的临床研究证据提示，ICU患者的血糖控制目标一般应该是7．8～10mmol／L。然而，临床工作中应该注意个体化原则，既要关注高血糖的危害，又要避免低血糖的风险。
The management of hyperglycemia in the intensive care unit （ICU） patients has been concerned in recent years. Epidemiological data show that the occurrence of severe hyperglycemia is associated with increased mortality and morbidity in ICU patients. Several large scale trials about intensive glycemic control in the critically ill patients were carried out, but reached disparate conclusions. Based on the latest clinical research evidences, the optimal target range of blood glucose level in ICU patients seems to be 7.8-10 mmol/L. However, the target should be individualized in clinical practice. Both hyperglycemia and hypoglycemia should be carefully avoided.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2010年第6期440-443,共4页
Chinese Journal of Endocrinology and Metabolism
关键词
重症监护病房
血糖控制
高血糖症
低血糖症
Intensive care unit
Blood glucose control
Hyperglycemia
Hypoglycemia
