【摘要】 营养不良是常见的老年综合征,在营养不良的老年患者进行肠内营养治疗时常会出现高血糖。对于低血糖的高危人群、75岁以上、预期寿命<5年、存在精神或智力障碍等情况的老年患者,均应进行宽松的血糖控制,即空腹或餐前血糖7.8mmol/L～10.0mmol/L,餐后2h或随机血糖7.8mmol/L～13.9mmol/L,但需避免出现严重高血糖而导致的急性并发症。在进行肠内营养治疗合并高血糖的老年患者中,首先应积极治疗原发病。同时,通过选择糖尿病适用型肠内营养制剂、调整营养乳剂的输注方式、合理使用胰岛素及口服降糖药等方法控制血糖。更多还原

【Abstract】 Malnutrition is a common geriatric syndrome.When older patients with malnutrition receive enteral nutrition treatment,they usually experience hyperglycemia simultaneously.For patients with high risk of hypoglycemia,over 75 years old,less than 5 years of life expectancy,with mental or cognitive impairment,fasting or preprandial blood glucose should be controlled between 7.8 to 10.0 mmol/L,postprandial 2 hblood glucose or randomly blood glucose should be controlled between 7.8 to 13.9 mmol/L.However,acute complications caused by severe hyperglycemia should be avoided.When the elderly patients receive enteral nutrition treatment combined with hyperglycemia,the primary disease should be treated first.Meanwhile,optimum control of blood glucose can be achieved through selecting proper diabetic enteral nutrition formula,adjusting nutrition support method injecting insulin and taking oral hypoglycemic agents.更多还原