国内外围术期2型糖尿病管理临床指南比较

发布时间：2018-06-20 06:35

本文选题：糖尿病 + 型　；参考：《中国全科医学》2011年21期

【摘要】：目的对比分析国内外围术期2型糖尿病(T2DM)管理临床指南,规范T2DM患者的围术期血糖管理。方法使用PubMed、中国生物医学文献(CBMD isc)数据库及Google等搜索引擎进行电子检索和人工检索,获取最新的围术期成年T2DM管理指南。检索截止时间为2009-04-01。结果获得12篇国内外报道的糖尿病指南。依据入选标准和排除标准,选择其中8篇进行比较分析。结论美国糖尿病协会、国际糖尿病联盟、加拿大糖尿病协会、美国麻省卫生部糖尿病指南及中国中华医学会指南综合性较强,可提供纲领性的指导方针,但缺乏操作流程,可执行性欠佳。美国Joslin糖尿病中心、Rush大学和Yale糖尿病中心指南的针对性更强,T2DM患者围术期管理建议详细,操作流程和管理策略对实际应用指导意义较强。中国的医疗机构,可参考以上指南,结合自身特点,制定出符合本院要求的围术期血糖管理规范。
[Abstract]:Objective to compare and analyze the clinical guidelines for the management of type 2 diabetes mellitus (T2DM) and standardize the perioperative blood glucose management in patients with type 2 diabetes mellitus (T2DM). Methods PubMeddatabase, CBMD isc database and Google search engine were used for electronic and manual search to obtain the latest management guidelines for perioperative adult T2DM. The search deadline is 2009-04-01. Results 12 diabetes guidelines were reported at home and abroad. According to the selection criteria and exclusion criteria, 8 of them were selected for comparative analysis. Conclusion the American Diabetes Association, the International Diabetes Federation, the Canadian Diabetes Association, the Massachusetts Department of Health Diabetes guidelines and the Chinese Medical Association guidelines are comprehensive, which can provide programmatic guidelines, but lack of operational procedures. Poor enforceability. The guidelines of Rush University and Yale Diabetes Center in Joslin Diabetes Center in USA are more specific and specific. The perioperative management advice for T2DM patients is more detailed, and the operation process and management strategy are of great significance for practical application. Chinese medical institutions can refer to the above guidelines and develop the perioperative blood glucose management standards in accordance with the requirements of our hospital.
【作者单位】：江西省萍乡市人民医院麻醉科;首都医科大学附属北京朝阳医院麻醉科;首都医科大学公共卫生与家庭医学院流行病学与卫生统计学系;
【分类号】：R587.1;R619

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