Application and prospect of flash glucose monitoring (FGM) technology in perioperative nursing care for hepatopancreatobiliary diseases
瞬感血糖监测技术在肝胆胰疾病围手术期护理中的应用总结与展望

摘要

肝胆胰疾病围手术期患者易因器官功能异常、应激反应、合并糖尿病等出现血糖剧烈波动，传统指尖血糖检测存在监测碎片化、滞后性等局限，易导致低血糖/高血糖漏判，增加手术风险与并发症发生率。瞬感血糖监测（Flash Glucose Monitoring, FGM）作为新型血糖监测技术，可实现72小时以上连续、实时血糖追踪，精准捕捉血糖波动规律，为围手术期个体化血糖管理提供科学依据。本文系统梳理FGM技术原理、在肝胆胰疾病围手术期术前评估、术中监测、术后护理中的应用现状，分析其临床优势与现存挑战，结合精准护理趋势展望未来应用方向，为提升围手术期血糖管理质量、改善患者预后提供参考。

Abstract

Patients with hepatopancreatobiliary diseases in the perioperative period are prone to significant blood glucose fluctuations due to organ dysfunction, stress responses, and concurrent diabetes mellitus. Traditional fingertip blood glucose testing has limitations such as fragmented monitoring and lag time, which can easily lead to missed detection of hypoglycemia or hyperglycemia, thereby increasing surgical risks and complication rates. Flash Glucose Monitoring (FGM), as an advanced glucose monitoring technology, enables continuous, real-time glucose tracking for over 72 hours, accurately capturing glucose fluctuation patterns and providing a scientific basis for individualized perioperative glycemic management. This paper systematically reviews the principles of FGM technology and its current application status in the preoperative evaluation, intraoperative monitoring, and postoperative care of hepatopancreatobiliary diseases. It analyzes the clinical advantages and existing challenges of FGM, and discusses future application directions in the context of the precision nursing trend. This review aims to provide a reference for improving the quality of perioperative glycemic management and enhancing patient outcomes.