持续静滴胰岛素治疗高血糖症早产儿的护理  

Nursing of hyperglycemic prematures treated by continuous infusion of insulin

作　　者：时亚平[1] 

机构地区：[1]温州医学院附属育英儿童医院NICU,浙江温州325027

出　　处：《南方护理学报》2005年第2期46-48,共3页Nanfang Journal of Nursing

摘　　要：总结报道2002年2月-2004年9月在NICU收治的34例持续静滴胰岛素治疗高血糖症早产儿的护理经验和教训,包括:监测血糖和尿量,根据血糖调节胰岛素的静滴速度,预防低血糖反应;观察低血钾、脑水肿等并发症;正确保存和核对药物;掌握早产儿热卡的计算,维持早产儿的热量均衡;以及维持稳定的内、外环境。34例患儿血糖恢复正常时间平均35.4h,达到完全热卡时间为(168±36)h。出现低血糖5例,低血钾2例,29例治愈出院,3例放弃治疗自动出院,2例并发脑室出血和肺出血死亡。The author summarized their experience in caring 34 hyperglycemic prematures treated by continuous infusion of insulin, who were admitted from February 2002 to September 2004. Their nursing measures included monitoring of blood glucose and urinary volume, adjustment of infusion speed based on blood glucose and prevention of hypoglycemia; observation of such complications as hypokelemia and hydrocephalus, correct storage and check of drugs, mastery of premature caloric calculation for keeping caloric balanced, sustaining of a stable environment in and out of body. As a result, the blood glucose in 34 prematures drew back to normal, averaged 35.4 h, the time for reaching full carolic was(168±36)h. The hypoglycemia occurred in 5 cases and hypokalemia in 2. For all, 29 cases (81.1%) were cured, 3 cases gave up treatment and 2 died for ventricle and pulmonic hemorrhage.

关 键 词：早产儿 高血糖 胰岛素 静脉滴注 护理 

分 类 号：R722.6[医药卫生—儿科]