Construction and research progress of individualized blood glucose nursing strategies for diabetic patients during the perioperative period of surgery
糖尿病患者外科围手术期个体化血糖护理策略的构建与研究进展

摘要

糖尿病作为全球高发的慢性代谢性疾病，其患者在接受外科手术时面临更高的并发症风险，血糖管理成为围手术期护理的核心环节。个体化血糖护理策略基于患者的糖尿病类型、病程、手术特点及全身状况，实现精准化、动态化的血糖调控，对改善手术预后具有重要意义。本文系统梳理糖尿病患者外科围手术期个体化血糖护理策略的构建框架，包括术前评估与风险分层、术中血糖监测与干预、术后血糖管理与康复指导等关键环节，综述国内外相关研究进展，分析当前策略实施中的难点与优化方向，为临床护理实践提供参考。

Abstract

As a chronic metabolic disease with a high incidence worldwide, patients with diabetes face a higher risk of complications during surgical operations, and blood glucose management has become a core link in perioperative care. Individualized blood glucose care strategies, based on the patient's type of diabetes, disease duration, surgical characteristics and overall condition, achieve precise and dynamic blood glucose regulation, which is of great significance for improving surgical prognosis. This article systematically reviews the construction framework of individualized blood glucose care strategies for diabetic patients during the perioperative period, including key links such as preoperative assessment and risk stratification, intraoperative blood glucose monitoring and intervention, and postoperative blood glucose management and rehabilitation guidance. It also summarizes the relevant research progress at home and abroad, analyzes the difficulties and optimization directions in the current strategy implementation, and provides references for clinical nursing practice.