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口腔颌面外科围手术期血糖管理专家共识
引用本文:牛芳桥,孙沫逸,肖海鹏,李延兵,曹筱佩,李晓苗,高彬,郭辉,王智,郝婧,郭伟,冉伟,李龙江,唐瞻贵,孙志军,孟箭,任国欣,尚伟,郑家伟,张东升,魏建华,杨耀武,吴炜,田磊,李云鹏,杨帆,侯锐,白津宇.口腔颌面外科围手术期血糖管理专家共识[J].实用口腔医学杂志,2022(1).
作者姓名:牛芳桥  孙沫逸  肖海鹏  李延兵  曹筱佩  李晓苗  高彬  郭辉  王智  郝婧  郭伟  冉伟  李龙江  唐瞻贵  孙志军  孟箭  任国欣  尚伟  郑家伟  张东升  魏建华  杨耀武  吴炜  田磊  李云鹏  杨帆  侯锐  白津宇
作者单位:军事口腔医学国家重点实验室;军事口腔医学国家重点实验室;中山大学第一附属医院内分泌科;空军军医大学第一附属医院内分泌科;空军军医大学第二附属医院内分泌科;西安交通大学第一附属医院内分泌代谢科;西安交通大学口腔医院麻醉科;第四军医大学口腔医院麻醉科;上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科;中山大学第一附属医院;四川大学华西口腔医学院;中南大学湘雅口腔医学院;武汉大学口腔医院头颈肿瘤外科;徐州市中心医院口腔科;青岛大学附属医院口腔颌面外科;山东第一医科大学第二附属医院
基金项目:第四军医大学口腔医院新技术新业务(2019)(编号:41742921353)。
摘    要:围手术期血糖水平异常现象是影响患者预后的重要因素。目前,已有较多关于外科手术围手术期血糖管理指南,但对于口腔颌面外科手术围手术期血糖异常情况尚未有规范的管理方案。根据已发表的相关指南、共识及文献,并结合颌面外科的特点及我们的经验,本文主要从术前高血糖的筛查、评估,术中血糖安全管理,术后血糖水平的监测及治疗等方面规范了标准化血糖管理操作规程,为颌面外科围手术期血糖管理提供参考。

关 键 词:围手术期  血糖管理  口腔颌面外科

Expert consensus on perioperative blood glucose management in oral and maxillofacial surgery
NIU Fangqiao,SUN Moyi,XIAO Haipeng,LI Yanbing,CAO Xiaopei,LI Xiaomiao,GAO Bin,GUO Hui,WANG Zhi,HAO Jing,GUO Wei,RAN Wei,LI Longjiang,TANG Zhangui,SUN Zhijun,MENG Jian,REN Guoxin,SHANG Wei,ZHENG Jiawei,ZHANG Dongsheng,WEI Jianhua,YANG Yaowu,WU Wei,TIAN Lei,LI Yunpeng,YANG Fan,HOU Rui,BAI Jinyu.Expert consensus on perioperative blood glucose management in oral and maxillofacial surgery[J].Journal of Practical Stomatology,2022(1).
Authors:NIU Fangqiao  SUN Moyi  XIAO Haipeng  LI Yanbing  CAO Xiaopei  LI Xiaomiao  GAO Bin  GUO Hui  WANG Zhi  HAO Jing  GUO Wei  RAN Wei  LI Longjiang  TANG Zhangui  SUN Zhijun  MENG Jian  REN Guoxin  SHANG Wei  ZHENG Jiawei  ZHANG Dongsheng  WEI Jianhua  YANG Yaowu  WU Wei  TIAN Lei  LI Yunpeng  YANG Fan  HOU Rui  BAI Jinyu
Institution:(State Key Laboratoryof Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Clinical Research Center for Oral Diseases,Department of Medical Rehabilitation,School of Stomatology,The Fourth Military Medical University,Xi'an 710032,China;State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases&Shaanxi Clinical Research Center for Oral Diseases,Department of Oral and Maxillofacial Surgery,School of Stomatology,The Fourth Military Medical University,Xi'an;Department of Endocrinology,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou;Department of Endocrinology,First Affiliated Hospital of Air Force Military Medical University,Xi'an;Department of Endocrinology,Second Affiliated Hospital of Air Force Military University,Xi'an;Department of Endocrinology&Metabolism,First Affiliated Hospital of Xi'an Jiaotong University;Department of Anesthesiology,Hospital of Stomatology,Xi'an Jiaotong University;Department of Anesthesiology,School of Stomatology,the Fourth Military Medical University,Xi'an;Department of Oral and Maxil-lofacial Surgery,Shanghai Ninth People's Hospital,Shanghai jiaotong University School of Medicine;The First Affiliated Hospital,Sun Yat-sen University,Guangzhou;West China School Hospital of Stomatology Sichuan University,Chengdu;Central South University,Xiangya School of Stomatology,Changsha;Department of Oraland Maxillofacial Surgery,Hospital of Stomatology Wuhan University;Department of Stomatology,Xuzhou Central Hospital;Department of Oral and MaxillofacialSurgery,The Affiliated Hospital of Qingdao University;The Second Affiliated Hospital of Shandong First Medical University)
Abstract:Perioperative blood glucose level abnormality is an important factor affecting the prognosis of patients.Up to now,there are many guidelines on perioperative blood glucose management,but there is no standardized management procedure for perioperative blood glucose level abnormalities in oral and maxillofacial surgery.According to the published guidelines and consensus,combined with the characteristics of maxillofacial surgery in our hospitals,this article mainly focuses on the preoperative screening and evaluation of hyperglycemia,intraoperative blood glucose safety management,the standardized procedure of blood glucose management in the monitoring and treatment of postoperative blood glucose level abnomality,provides reference for perioperative blood glucose management in maxillofacial surgery.
Keywords:Perioperative  Blood glucose management  Oral and maxillofacial surgery
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