Abstract

在手术、麻醉、失血等应激源的刺激下,手术患者术后血糖水平升高,糖耐量下降,外周组织对胰岛素敏感性和反应性下降,称应激性糖尿病或创伤后糖尿病.产生的原因为术后胰岛素抵抗.创伤后糖尿病还可引起机体分解代谢增加、负氮平衡、瘦组织群减少、创口愈合不良及感染率升高等,严重影响机体内环境稳定[1]。

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