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糖尿病或非糖尿病患者围术期血糖水平的上升导致了发病率和病死率的增加,提高了麻醉管理的难度。充分认识血糖的变化及其调控对保障患者围术期的安全具有重要意义。积极干预围术期血糖的变化,将血糖控制在一定范围内有助于减少并发症的发生。该文就围术期血糖控制的相关问题,如围术期高血糖形成的原因、高血糖对机体的影响及血糖控制的目标与各种措施等相关研究进展予以综述。
Perioperative blood sugar levels in diabetic or non-diabetic patients lead to increased morbidity and mortality and increased difficulty in managing anesthesia. To fully understand the changes of blood glucose and its regulation is of great significance to ensure the perioperative safety of patients. Active intervention in perioperative blood glucose changes, blood glucose control within a certain range will help reduce the incidence of complications. This review summarizes the relevant research progress on perioperative glycemic control, such as the causes of perioperative hyperglycemia, the effect of hyperglycemia on the body and the goals and measures of glycemic control.