CAJ | 학술논문

高血糖是重症监护病房脓毒症危重患者常见问题，脓毒症血糖水平的上升导致了发病率和病死率的增加，而且脓毒症高血糖的病理生理学特别是治疗仍存在争议。在管理脓毒症患者临床实践中，血糖的控制水平、低血糖、变异度、病死率、营养支持等方面必须被重视。积极干预脓毒症患者血糖的变化，将血糖控制在一定范围内有助于减少并发症的发生。目前脓毒症患者最佳血糖控制水平仍不明确，妥善营养支持、避免低血糖、降低变异度，有利于降低病死率。
고혈당시중증감호병방농독증위중환자상견문제，농독증혈당수평적상승도치료발병솔화병사솔적증가，이차농독증고혈당적병리생이학특별시치료잉존재쟁의。재관리농독증환자림상실천중，혈당적공제수평、저혈당、변이도、병사솔、영양지지등방면필수피중시。적겁간예농독증환자혈당적변화，장혈당공제재일정범위내유조우감소병발증적발생。목전농독증환자최가혈당공제수평잉불명학，타선영양지지、피면저혈당、강저변이도，유리우강저병사솔。
Hyperglycemia is a commonly encountered issue in critically ill patients with sepsis in the intensive care unit.The elevation of sepsis glucose leads to higher morbidity and mortality ,however the patho-physiology and,in particular,the treatment of hyperglycemia remains controversial.In clinical practice,several aspects must be taken into account in the management of these patients,including blood glucose targets, hypoglycemia,glucose variability,fatality,nutritional support and so on.Active maintenance of the level of blood glucose within an acceptable range helps to reduce the incidence of complications.The optimal glyce-mic control level for patients with sepsis remains unclear.Proper nutritional support,avoiding hypoglycemia and reducing blood glucose variability are helpful to decreasing the fatality .