糖尿病患者腹部手术围手术期的处理

糖尿病已成为全球威胁人类健康的三大慢性非传染性疾病之一。需要外科手术的患者占所有糖尿病患者的25%,其围手术期病死率、并发症以及住院时间较正常人明显增加,因此对于糖尿病患者围手术期的处理方案显得尤为重要。但目前对于围手术期血糖控制范围仍众说纷纭,综合各研究结论,笔者认为将血糖控制在7.8~10 mmol/L是一个较为理想的范围。在患者术前、术中及术后应联合多学科制定各项相应的治疗方案,围手术期尤为注意避免患者发生低血糖和电解质紊乱的发生。也亟待后续大规模的随机对照试验进一步确定有效的血糖控制目标。

Perioperative glucose managements for patients undergoing abdominal surgery

Diabetes have become one of three most common chronic non-infectious diseases in China.25% of patients undergoing surgery sufferred diabetes , of whom perioperative complications and mortality were significantly increased and hospital stay was delayed than those of patients without diabetes . Therefore glucose control played an important role in the perioperative management .According to the global guidelines, we recommend 7.8-10.0mmol/L as a moderate glucose level .Perioperative multiple displinary therapeutic strategies for patients could help to avoid hypoglycemia and electrolyte disturbance should be carefully managed .The accurate level of glucose control might be achieved by further large scale randomized controlled trials .