护理干预对危重患者目标血糖控制的应用研究  

Application of the nursing intervention to target blood sugar control in critically ill patients

作　　者：史秀凤[1] 杨作勤[1] 许忠娟[1] 钱珍[1] 刘艳梅[1] 杨丽[1] 王萌[1] 

机构地区：[1]马鞍山市中心医院ICU,243000

出　　处：《安徽医学》2011年第7期1012-1014,共3页Anhui Medical Journal

摘　　要：目的探讨护理干预对ICU危重患者目标血糖控制的影响。方法对66例ICU危重患者(入院24 h APACHEⅡ≥20分)合并应激性高血糖患者按照实行护理干预方法前后分为常规血糖控制组(32例)和护理干预实验组(34例),比较分析两组目标血糖控制效果。结果记录两组患者入ICU时、第2 d、第3 d、第4 d、第5 d晨7∶30血糖值比较以及记录5 d测血糖总次数中发生低血糖次数和例数比较,两组差异均无统计学意义(P>0.05);记录5 d测血糖总次数中发生高于目标血糖值次数和例数比较,两组差异有统计学意义(P<0.05)。结论实行护理干预措施可减少ICU危重患者血糖较大水平波动,对保持血糖在目标值范围的治疗要求具有积极作用。Objective To explore target blood sugar control of the nursing intervention in critically ill patients.Methods 66 cases of critically ill patients（admission 24 h APACHEⅡ ≥ 20） accompanied with stress hyperglycemia were divided into two groups based on implementing the nursing intervention before and after： routine group（n = 32） and nursing intervention group（test,n=34）,comparing the effect of target blood sugar control between two groups.Results Comparing blood sugar of two groups of admission,the second day,the third day,the fourth day,and the fifth day at 7：30am,the results showed no significantly different（P0.05）;comparing the number and cases of hypoglycemia of two groups within five days,there was no significantly different（P0.05）;comparing the number and cases of above goal blood sugar of two groups within five days,the number of intervention group was statistically less than that of the routine group（P0.05）.Conclusion Nursing intervention can reduce large fluctuation of blood sugar in critically ill patients and play an important role in keeping blood sugar to target.

关 键 词：护理干预 危重患者 目标血糖控制 影响 

分 类 号：R473[医药卫生—护理学]