摘要
无论合并糖尿病与否，多种因素可导致重症患者出现高血糖，高血糖能够增加重症患者的病死率。近来，多项临床研究显示，胰岛素强化治疗可以使血糖严格的控制于正常水平，显著降低各种普通重症患者及诸如心血管、神经、外科等各科重症患者的病死率和医疗费用，并给患者带来长期的生存获益。虽然强化治疗控制血糖增加了低血糖的发生，但低血糖并未增加患者的病死率。胰岛素强化控制血糖成为重症监护病房中不容忽视的一种重要治疗措施。
No matter with diabetes or not, many factors can cause hyperglycemia in patients in intensive care unit （ ICU ）. Hyperglycemia increases mortality of patients in ICU. Recently, many clinical researches showed that intensive insulin therapy can make blood glucose maintaining strict normoglycemia, reduce mortality and medical cost of mixed medical/surgical, cardiac, neuro and surgical ICU patients significantly. Moreover,it brings long-term survival benefits. Though hypoglycemia happened more often with intensive insulin therapy, it doesn＇t increase mortality. Intensive insulin therapy is becoming an important therapeutic protocol in ICU.
出处
《国际内分泌代谢杂志》
2008年第6期396-399,共4页
International Journal of Endocrinology and Metabolism
关键词
重症监护病房
胰岛素强化治疗
血糖
病死率
Intensive care unit
Intensive insulin therapy
Blood glucose
Mortality
