CAJ | 학술논문

随着糖尿病发病率的逐年增加,目前手术合并糖代谢紊乱患者逐渐增多.糖代谢紊乱可加重手术风险,影响预后;而手术本身作为一种创伤,又可加重糖尿病患者的糖代谢紊乱,这可能与手术引起机体内激素水平变化有关.因此,应充分重视手术患者合并糖代谢紊乱的情况,做好术前患者基本情况的评估,强化围手术期的血糖控制,防治感染及其他术后并发症的出现.本文对手术与糖代谢紊乱的关系、可能机制及其防治措施进行综述.
수착당뇨병발병솔적축년증가,목전수술합병당대사문란환자축점증다.당대사문란가가중수술풍험,영향예후;이수술본신작위일충창상,우가가중당뇨병환자적당대사문란,저가능여수술인기궤체내격소수평변화유관.인차,응충분중시수술환자합병당대사문란적정황,주호술전환자기본정황적평고,강화위수술기적혈당공제,방치감염급기타술후병발증적출현.본문대수술여당대사문란적관계、가능궤제급기방치조시진행종술.
The combination of surgery and dysglycemia is very common nowadays,since the inci-dence of diabetes increased year by year.The dysglycemia increases the difficulty of the surgery, and may cause poor prognosis.While as a trauma, the surgery deteriorated the dysglycemia in diabetic patients due to the fluctuations of hormone level.So we should pay more attention to the diabetic patients who are going to undergo a surgery.Evaluation of the basic condition before surgery, intensive blood glucose control and pre-vention of infection and other complications after surgery axe very important.This article reviews the relation-ship between surgery and dysglycemia, their possible mechanism, and the prevention.