护理干预在颅脑损伤患者动态血糖监测及效果观察  

作　　者：李艳[1] 

机构地区：[1]商丘市第一人民医院手术室,476100

出　　处：《当代医学》2010年第32期17-18,共2页Contemporary Medicine

摘　　要：目的探讨动态血糖监测及护理干预对促进重度颅脑损伤高血糖患者转归的效果。方法对重度颅脑损伤后住院治疗的178例血糖升高患者随机分为参照组和实验组(两组均为89例)。参照组按常规血糖监测方法,予常规护理;实验组动态血糖监测,根据血糖水平调控降糖药物的使用,制定相应护理措施,比较两组对象不同时间的生命体征、GCS(Glasgowcomascale)评分和愈后良好率、致残率、植物生存率、死亡率及平均住院天数。结果实验组患者各项指标均明显优于对照组(P<0.05)。结论对重度颅脑损伤高血糖患者进行动态血糖监测,实施有针对性的护理干预措施,能有效提高患者愈后良好率,降低致残率、植物生存率和死亡率,缩短住院天数。Objective To explore the effect of nursing intervention and dynamic glucose monitoring for promoting severe craniocerebral injury hyperglycemia outcome. Methods 178 hospitalized patients of severe head injury with hyperglycemia were randomly divided into control group and experimental group （both groups for 89 cases）. According to the normal blood sugar control group receive routine nursing, According to the dynamic monitored blood sugar in experimental group, the use of oral glucose-lowering drugs were adjusted and corresponding nursing measures were made. the two different groups were compared in life signs, GCS score and good rate, morbidity, mortality, the plants survival and hospital number. Results Experimental in each index were superior to control group （P0.05）. Conclusion For patients of severe head injury with high blood sugar, dynamic monitoring of the blood sugar and specific nursing intervention measures can effectively increase good rate, reduce the morbidity ,the plant survival and mortality, shorten hospital number.

关 键 词：颅脑损伤 动态血糖监测 护理效果 

分 类 号：R473.6[医药卫生—护理学]