重症患者血糖如何管理＿培训课件.pptVIP

下载本文档

15
0
约1.17万字
约 46页
2016-12-06 发布于浙江
举报
版权申诉

重症患者血糖如何管理＿培训课件.ppt

1、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

康全力在糖尿病人的效果减少胰岛素用量减少血糖曲线下面积减少血糖峰值减少血糖波动总结重视重症患者的高血糖问题血糖的控制（波动）合适的肠内营养制剂的应用是较好的辅助手段谢谢！ * * * * This slide summarizes additional hyperglycemia prevalence data from medical, surgical, and ICU wards. Again results show that at least one of every three patients experiences hyperglycemia in the hospital. In individuals who are critically ill, mild hyperglycemia (episode 110 mg/dL) occurred in 100% of patients, while glucose excursions 200 mg/dL occur in 31% of patients, and mean glucose 145 mg/dL occured in 39%. In-hospital hyperglycemia takes both personal and financial tolls. Hyperglycemia is associated with increased complications, increased length of stay (ICU and hospital), and increased mortality. [1/Umpierrez.JClin EnodcrinolMetab.Mar.2002/p980/c2/line 21-22] [2/Levetan.Diabetes Care.Feb.1998/p246/Abstract/line A10-A13] [3/Krinsley.MayoClinProc.Dec.2003/p1475/Table 5] [4/Falciglia.[Hyperglycemia ICU Prevalence].2006[ADA Abstract 19-LB]/p1/Table 1] * * * The most serious consequence of poor glucose control in the hospital is death. Results of a study by Umpierrez showed that hyperglycemia was an independent and significant marker of in-hospital mortality in patients with undiagnosed diabetes. * * * * * In fact, the association between hyperglycemia and death shows that risk for death is proportionate to the degree of glucose elevation. For ICU patients with mean glucose values 300 mg/dL, risk for death is 4-fold greater than for patients with normoglycemia. [Krinsley.MayoClinProc.Dec.2003/p1471/Abstract/c1/line A4-A8; p1476/Table 7] * * * Not only did blood glucose control lead to improved outcomes for the patients, but such control also led to cost savings due to decreased lengths of stay and incidence of complications. This slide lists findings from 4 studies describing cost savings derived from improved glycemic management. * In(HOMA-IR)胰岛素抵抗指数 * In(HOMA-IR)胰岛素抵抗指数 * * This slide describes the primary differences between standard nut