Stress-induced hyperglycemia
Stress-induced hyperglycemia
复制标题
DOI：
10.1016/s0749-0704(05)70154-8
复制
发表时间：
2001-01-01
影响因子：
4.3
通讯作者：
Bistrian, BR
中科院分区：
文献类型：
--
作者：
McCowen, KC;Malhotra, A;Bistrian, BR
应激性高血糖在重症监护病房（ICU）很常见。主要的促成因素包括过多的反调节激素、细胞因子释放以及过多的葡萄糖支持治疗。关于在ICU积极控制高血糖有益的证据很少，而且很多研究是回顾性的。纠正高血糖明显改善心肌梗死（MI）患者的死亡率，并可能减少外科患者随后的感染并发症。
Stress-induced hyperglycemia is common in the ICU. Major contributing factors include excessive counterregulatory hormones, cytokine release and administration of excessive dextrose support. Evidence that aggressive management of hyperglycemia in the ICU is beneficial is sparse, and many studies are retrospective. Correction of hyperglycemia clearly improves mortality in patients with myocardial infarction (MI), and may reduce subsequent infectious complications in surgical patients.