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- Title
心脏手术围术期的血糖波动与术后急性肾损伤.
- Authors
何建斌; 邢柏春; 蒋玮; 陈曦; 姚立农
- Abstract
Sufficient studies had investigated perioperative hyperglycemia and its effects on postoperative complications in cardiac surgery but no consensus was obtained. There was few study reported perioperative glycemic oscillation contributing to acute kidney injury. This review systematically introduced effects of glycemic oscillation on acute kidney injury during cardiac surgery and generally analysed its mechanism. Several studies proved multi-risk factors possessed potential in glycemic oscillation perioperatively. Propensity of perioperative glycemic oscillation risking postsurgical acute kidney injury was obsessed after we compared several controversial researches main in hyperglycemia and renal function. Some detriment of glycemic oscillation lied in its trend of provoking hyperoxide stress and hemodynamic unstability. Whether pre- and post-operative glycemic oscillation strongly correlated to postsurgical acute kidney injury in cardiac surgery was still indeterminacy and needed further investigation and this would help decrease morbidity and mortality of patients experiencing AKI after cardiac surgeries.
- Publication
Progress in Modern Biomedicine, 2015, Vol 15, Issue 13, p2548
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2015.13.040