围手术期应激性高血糖管理

由于手术应激原影响，外科大手术围术期发生应激性高血糖屡见不鲜。围手术期血糖监测与控制对临床治疗意义重大。本文概括了围手术期应激性高血糖的发病机制、主要危害，从辩证思维的角度，归纳出灵活掌握控制标准，注意“度”的原则、整体性原则及动态性原则，从而有效控制围手术期发生的应激性高血糖。

The Management of perioperative stress-- induced hyperglycemia

Influenced by the surgical stressor, stress--induced hyperglycemia is very common in the perioperative period. The perioperative glucose monitoring and control is greatly meaningful for clinical treatment. This article summarizes the pathogenesis, main danger of perioperative stress--induced hyperglycemia. From the way of dialectical thinking, the flexi ble control standard is concluded, and the principle of degree, integrative principle and dynamic principle should be noticed. Thus effective control of perioperative stress--induced hyperglycemia is available.