ICU病人血糖管理.pptVIP

Logo Logo Logo ICU病人的血糖管理 重症医学科 杜清玉 国外ICU患者高血糖发生概况 高血糖在危重症患者中普遍存在，且与危重症患者死亡率上升密切相关 ICU患者中血糖超过10mmol/L的约占32.2% 床旁血糖监测数据显示，ICU患者的平均血糖水平为9.3mmo/L 1.Mercedes Falciglia,et.al. Hyperglycemia-Related Mortality in Critically Ill Patients Varies with Admission Diagnosis. Crit Care Med. 2009 37(12): 3001–3009 2.Donald E.G. Griesdale ,et.al. Intensive insulin therapy and mortality among critically ill patients: a meta-analysis including NICE-SUGAR study data. CMAJ 2009;180(8):821-7 3.Christine m. swanson.et.al. An update on inpatient glycemic control in u.s. hospitals .2011 国内ICU患者