zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2012-9-3-7zdor-1278Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ И ПОЗИЦИИ ДОКАЗАТЕЛЬНОЙ МЕДИЦИНЫ В ВОПРОСЕ ПЕРИОПЕРАЦИОННОГО ВЕДЕНИЯ ПАЦИЕНТОВ С САХАРНЫМ ДИАБЕТОМCLINICAL GUIDELINES AND EVIDENCE REGARDING PERIOPERATIVE MANAGEMENT OF PATIENTS WITH DIABETES MELLITUSПлатошкинН. Э.PlatoshkinN. E.noemail@neicon.ruКанусИ. И.KanusI. I.noemail@neicon.ruГомельский государственный медицинский университетGomel State Medical UniversityБелорусская медицинская академия последипломного образования, МинскBelarusian Medical Academy of Postgraduate Education, Minsk201228092012033539Copyright © Платошкин Н.Э., Канус И.И., 20122012Платошкин Н.Э., Канус И.И.Platoshkin N.E., Kanus I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/1278

Цель: обзор клинических рекомендаций и доказательной базы, регламентирующих периоперационное ведение пациентов с сахарным диабетом. Материалы и методы: изучены литературные источники, содержащие доказательные основы, а также данные клинических рекомендаций по периоперационному ведению пациентов, страдающих сахарным диабетом. Описываются и анализируются подходы к предоперационной подготовке, периоперационной инсулинотерапии у данной категории пациентов. Обсуждается роль пероральных гипогликемизирующих лекарственных средств в периоперационном периоде. Заключение. Оптимальное периоперационное ведение пациентов, страдающих сахарным диабетом, является сложной задачей. Существующая на сегодняшний день доказательная база освещает далеко не все проблемы, возникающие в ходе работы с данной категорией пациентов. Очевидна необходимость проведения дальнейших исследований в этой области и разработка рекомендаций для практической работы.

Aim of research: the aim of this research was to overview clinical guidelines and evidence regarding perioperative management of patients with diabetes mellitus. Materials and methods: the clinical guidelines and evidence regarding perioperative management of patients with diabetes mellitus were studied. The approaches to preoperative management and perioperative insulin therapy in this category of patients were described and analyzed. The role of oral hypoglycemic drugs in perioperative period was discussed. Conclusion. The optimal perioperative management of patients with diabetes mellitus is a difficult task. The up-to-date evidence does not cover all the problems arising during the management of this category of patients. The need in further research and compilation of clinical guidelines is obvious.

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The authors declare that there are no conflicts of interest present.