微量泵持续静注胰岛素在急性颅脑外伤手术中的应用  

Application of insulin continuously infused with infusion pump in acute head injury operation

作　　者：李秀英[1] 王明义[1] 张悟[1] 刘云兰[1] 夏洪梅[1] 孙士勇[1] 

机构地区：[1]山东省聊城市第二人民医院,山东临清252601

出　　处：《现代中西医结合杂志》2007年第35期5241-5242,共2页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨微量泵持续静注胰岛素用于急性颅脑外伤患者的临床价值。方法将80例急性颅脑外伤患者以入院时格拉斯哥预后评分(GCS)分为G1,G2和G33组,每组患者又随机分为治疗亚组与对照亚组。对治疗亚组的41例患者应用微量泵持续静注胰岛素治疗,并与39例对照亚组的患者作比较。结果GCS评分越低,血糖含量越高;血糖含量越高,预后越差。治疗亚组的存活率、良好率与对照亚组比较有显著性差异(P<0.01)。结论术中应用微量泵持续静注胰岛素治疗急性颅脑外伤患者,可有效控制应激高血糖,改善患者预后。Objective It is to discuss the clinical value of insulin continuously infused with infusion pump in acute head injury operation. Methods Eighty patients were divided into G1, G2 and G3 groups according to Glasgow Coma Scale （GCS） scores on admission. Each group was randomly divided into treatment and control subgroups. 41 cases in treatment subgroup were treated with insulin continuously infused with infusion pump and compared with 39 cases in control subgroups. Results The lower was the GCS score, the higher was the blood glucose level. The higher was the blood glucose level, the worse was the prognosis. There was significant difference on survival rate and good rate between the treatment and control subgroups （P〈0.01）. Conclusion Insulin continuously infused with infusion pump in acute head injury operation can effectively control excitable hyperglycemia and improve the prognosis.

关 键 词：微量泵 胰岛素 急性颅脑外伤 预后 

分 类 号：R64[医药卫生—外科学]