Continuous Postoperative Blood Glucose Monitoring and Control by Artificial Pancreas in Patients Having Pancreatic Resection A Prospective Randomized Clinical Trial

Continuous Postoperative Blood Glucose Monitoring and Control by Artificial Pancreas in Patients Having Pancreatic Resection A Prospective Randomized Clinical Trial
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DOI:
10.1001/archsurg.2009.176
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发表时间:
2009-10-01
影响因子:
--
通讯作者:
Hanazaki, Kazuhiro
Hanazaki, Kazuhiro
中科院分区:
其他
文献类型:
--
作者:
Okabayashi, Takehiro;Nishimori, Isao;Hanazaki, Kazuhiro

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目的:评价一种提供持续监测和严格控制胰腺切除术后围手术期血糖的闭环系统。设计:前瞻性随机临床试验。患者:30例胰腺肿瘤切除患者。干预:患者前瞻性随机。使用人工内分泌胰腺(STG-22)持续监测围手术期血糖水平。采用滑动标尺法(滑动标尺组,n=13)或人工胰腺(人工胰腺组,n=17)控制血糖水平。
Objective: To evaluate a closed-loop system providing continuous monitoring and strict control of perioperative blood glucose following pancreatic resection.Design: Prospective, randomized clinical trial.Patients: Thirty patients who had pancreatic resection for pancreatic neoplasm.Interventions: Patients were prospectively randomized. Perioperative blood glucose levels were continuously monitored using an artificial endocrine pancreas (STG-22). Glucose levels were controlled using either the sliding scale method (sliding scale group, n=13) or the artificial pancreas (artificial pancreas group, n=17).Main Outcome Measures: Incidence of severe hypoglycemia (