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Expert consensus on the glycemic management of critically ill patients

查看全文 作　　者：Zhixiong [1]Wu;Jiao [2]Liu;Dong [3]Zhang;Kai [4]Kang;Xiangrong [5]Zuo;Qianghong [6]Xu;Aijun [7]Pan;Wei [8]Fang;Fen [9]Liu;You [10]Shang;Haiyan [11]Yin;Juntao [12]Hu;Jinglun [13]Liu;Jiangquan [14]Fu;Wei [15]Zhang;Yuan [16]Zong;Min [17]Shao;Feng [18]Zhao;Mei [2]Meng;Yanfei [19]Mao;Yingchuan [20]Li;Dechang [2]Chen 高影响力作者 机构地区：[1]Department of Critical Care Medicine,Huadong Hospital,Fudan University,Shanghai 200040,China;[2]Department of Critical Care Medicine,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;[3]Department of Critical Care Medicine,The First Hospital of Jilin University,Changchun,Jilin 130021,China;[4]Department of Critical Care Medicine,the First Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang 150001,China;[5]Department of Critical Care Medicine,The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210029,China;[6]Department of Critical Care Medicine,Zhejiang hospital affiliated to Medical College of Zhejiang University,Hangzhou,Zhejiang 310013,China;[7]Department of Critical Care medicine,The First Affiliated Hospital of USTC,Division of Life Science and Medicine,University of Science and Technology of China,Hefei,Anhui 230001,China;[8]Department of Critical Care medicine,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Qingdao,Shandong 266071,China;[9]Department of Critical Care Medicine,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China;[10]Department of Critical Care Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430022,China;[11]Department of Intensive Care Unit,The First Affiliated Hospital of Jinan University,Guangzhou,Guangdong,510630,China;[12]Department of Critical Care Medicine,The First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530021,China;[13]Department of Emergency Medicine and Critical Care Medicine,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;[14]Emergency Department Intensive Care Units,Guizhou Medical University Affiliated Hospital,Guiyang,Guizhou 550004,China;[15]Department of Emergency,The First Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650032,China;[16]Department of ICU,Shaanxi Provincial People’s Hospital,Xi’an,Shaanxi 710068,China;[17]Department of Critical Care Medicine,The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022,China;[18]Department of Critical Care Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China;[19]Department of Anesthesiology and Surgical Intensive Care Unit,Xinhua Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200092,China;[20]Department of Critical Care Medicine,Tongji University Affiliated Shanghai Tenth People’s Hospital,Shanghai 200072,China高影响力机构 出　　处：《Journal of Intensive Medicine》索引2022年第2卷第3期,共15页高影响力期刊 摘　　要：Introduction The incidence of hyperglycemia is 40-60%in critically ill patients and is up to 60-80%in those who have undergone car-diac surgery.[1]The results of an epidemiological study in the United States showed that 28.6%of diabetic patients and 9.3%of non-diabetic patients had elevated mean daily glucose on the day of ICU admission.[2]In critically ill patients,elevated blood glucose is primarily the result of stress,and stress-induced hy-perglycemia is an independent risk factor associated with prog-nosis,regardless of a previous diagnosis of diabetes.Nutritional therapy has become an integral treatment option for patients in the ICU,[3,4]though nearly 30%of patients with enteral nu-trition and 44-50%with parenteral nutrition(PN)experience elevated glucose.[5,6]Intensive insulin therapy(IIT)is an impor-tant treatment for controlling hyperglycemia in critically ill pa-tients,but it also carries a corresponding risk of hypoglycemia. 关 键 词：PATIENTS ELEVATED DIAGNOSIS
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