Perioperative diabetes management
作者: Tracy L Setji Lisa Gilmore Susan Freeman
刊名: Diabetes Management, 2018, Vol.8 (3)
来源数据库: Pulsus Group
原始语种摘要: Uncontrolled diabetes increases the risk of postoperative complications including surgical site infection, acute renal failure, and mortality. Further, the stress of surgery and anesthesia increase counter regulatory hormones which contribute to an insulin resistant state and can lead to hyperglycemia, even in patients without known diabetes. Hyperglycemia impairs neutrophil function, and increases inflammatory cytokines and formation of reactive oxygen species. These changes lead to cellular damage and dysfunction of the immune and vascular systems. Recognizing patients at risk for perioperative hyperglycemia during the preoperative assessment provides an opportunity to intervene on glycemic control. Further, attention to glycemic control on the day of surgery and postoperatively with...
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  • diabetes 糖尿病
  • hyperglycemia 高血糖
  • hypoglycemia 低血糖
  • insulin 胰岛素
  • perioperative 牙周炎
  • management 管理
  • intervene 插进
  • preoperative 操作前的
  • assessment 评价
  • dysfunction 功能障碍