护理干预对伴高血糖的颅脑损伤患者治疗转归的影响  

作　　者：刘超群 林丽珍 谢乃强 邓妙芬 黄琼芳 程汝妍 叶翠玲 

机构地区：肇庆市第一人民医院,广东肇庆526021

出　　处：《中国保健》2007年第6期28-29,共2页Chinese Health Care

摘　　要：目的：探讨整体护理干预对颅脑外伤后高血糖患者治疗转归的影响。方法：将11例重型颅脑损伤患者随机分研究组55例和对照组55例。对照组在使用胰岛素期间对末梢血糖进行动态的监测直至清晨空腹静脉血糖连续2次正常。研究组同时制定营养支持措施和早期功能锻炼的综合护理。观察两组患者ADL、意识、吞咽障碍的恢复情况,并对意识恢复者进行改良Barthel指数评定。结果：研究组中意识障碍、吞咽障碍人数较对照组明显减少（P〈0.05）,各项ADL评分明显改善（P〈0.05或P〈0.01）,ADL总评分为58.4±18.5。结论：对重症颅脑损伤后血糖升高患者尽早实施护理干预,能降低病死率,提高救治水平。Objective：To explore the influence of the nursing intervention in hyperglycemia after craniocerebral injury. Methods：110 cases patients suffered severe hyperglycemia after craniocerebral injury were randomly divided into the study group（ n = 55 ）and the control group（ n = 55 ）. The control group were given dynamically inspect the twig blood sugar during insulin treaanent until the morning blood sugar turn normal continually for twice, and the study group, at the same time, receiving tube feeding and earlier rehabilitation nursing beside the control group care. Results：the disturbances of and swalow function were observed obviously in fewer patients of the study group than the control group（ P 〈 0. 05 ） In the study group, the scores of ADLwere obviously improved （P 〈 0. 05 or 0. 01 ）, the total score of ADL was （58.4 ±18.5 ）. Conclusion：As early as we can to add the Nursing intervention in h hyperglycemia after craniocerebral injury patients,call improve the prognosis of the patients and reduce the death rate.

关 键 词：颅脑外伤 高血糖 护理干预 

分 类 号：R651.1[医药卫生—临床医学;医药卫生—外科学]