术后胰岛素抵抗的预防及治疗进展

被引：4

作者：

朱宣进

刘建伟

机构：

[1] 暨南大学附属广州市红十字会医院普外科

来源：

中华普通外科学文献(电子版) | 2010年 / 4卷 / 02期

关键词：

胰岛素抵抗; IR; 型糖尿病; 低血糖; 患者; IIT; 胰岛素治疗; 血糖浓度;

D O I：

暂无

中图分类号：

R587.1 [糖尿病]; R619 [手术前后的处理及外科并发症];

学科分类号：

1002 ; 100201 ; 100210 ;

摘要：

<正>外科手术在去除病灶的同时也会带来创伤、应激和感染等损害。这些损害使机体产生包括分解代谢在内的一系列变化,其主要特征之一就是胰岛素抵抗(insulin resistance,IR)。IR严重时会产生各种负面影响,

引用

页码：151 / 154

页数：4

共 11 条

[1]

Perioperative intensive insulin therapy using artificial endocrine pancreas in patients undergoing pancreatectomy[J]. Hiromichi Maeda,Takehiro Okabayashi,Tomoaki Yatabe,Koichi Yamashita,Kazuhiro Hanazaki.World Journal of Gastroenterology. 2009(33)

[2] 糖预处理联合肠内营养对胃癌手术病人的治疗意义 [J].

李良辉 ;

罗琪 ;

魏黎煜 ;

孟敏君 ;

张颂恩 .

肠外与肠内营养, 2009, 16 (03) :141-145

[3] HOMA 2方法评价2型糖尿病患者胰岛素抵抗和胰岛β细胞功能 [J].

李霖 ;

李红 ;

王舟 ;

阮昱 .

浙江预防医学, 2008, (08) :1-2+5

[4] 丙泊酚-氯胺酮麻醉与丙泊酚-芬太尼麻醉对术后胰岛素抵抗的不同影响 [J].

李军 ;

刘合年 ;

魏晓红 ;

徐贵森 ;

代雪梅 ;

刘英海 ;

安虹 .

临床麻醉学杂志, 2006, (01) :30-31

[5]

Preoperative Fasting of 2 Hours Minimizes Insulin Resistance and Organic Response to Trauma After Video-Cholecystectomy: A Randomized, Controlled, Clinical Trial[J] . Marcelo S. M. Faria,José E. Aguilar-Nascimento,Osvanio S. Pimenta,Luis C. Alvarenga,Diana B. Dock-Nascimento,Natasha Slhessarenko.World Journal of Surgery . 2009 (6)

[6] Epidural anesthesia and analgesia decrease the postoperative incidence of insulin resistance in preoperative insulin-resistant subjects only [J].

Donatelli, Francesco ;

Vavassori, Angelo ;

Bonfanti, Simona ;

Parrella, Piervirgilio ;

Lorini, Luca ;

Fumagalli, Roberto ;

Carli, Franco .

ANESTHESIA AND ANALGESIA, 2007, 104 (06) :1587-1593

[7]

Stress-induced insulin resistance: recent developments[J] . Mattias Soop,Jonas Nygren,Anders Thorell,Olle Ljungqvist.Current Opinion in Clinical Nutrition and Metabolic Care . 2007 (2)

[8] An increase in insulin sensitivity and basal beta-cell function in diabetic subjects treated with pioglitazone in a placebo-controlled randomized study [J].

Wallace, TM ;

Levy, JC ;

Matthews, DR .

DIABETIC MEDICINE, 2004, 21 (06) :568-576

[9] Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients [J].

Krinsley, JS .

MAYO CLINIC PROCEEDINGS, 2003, 78 (12) :1471-1478

[10] Postoperative insulin resistance and circulating concentrations of stress hormones and cytokines [J].

Thorell, A ;

Loftenius, A ;

Andersson, B ;

Ljungqvist, O .

CLINICAL NUTRITION, 1996, 15 (02) :75-79

← 1 2 →