两种调控ICU应激性高血糖方法的临床比较  

CLINICAL COMPARISON OF 2 REGULATION METHODS IN TREATMENT OF STRESS HYPERGLYCEMIA IN ICU

作　　者：陈琦[1] 王兆鹏[1] 

机构地区：[1]常州市第二人民医院,江苏常州213003

出　　处：《承德医学院学报》2012年第2期142-144,共3页Journal of Chengde Medical University

摘　　要：目的:探讨ICU危重应激性高血糖病人的血糖调控方法。方法:52例ICU危重应激性高血糖病人随机分为两组(每组26例病人):A组(单纯依据血糖浓度调控组)和B组(依据血糖浓度及血糖变化幅度调控组)。比较两组患者治疗前平均血糖、治疗后3d内的血糖,治疗期间低血糖(<2.2mmol/L)发生率,达到目标血糖所用时间。结果:两组均在治疗后达到目标血糖;两组患者治疗前平均血糖、治疗后3d内的血糖比较无显著差异(P>0.05)。治疗期间B组发生低血糖的例次明显低于A组,B组患者达目标血糖所需时间明显短于A组(P<0.05)。结论:依据血糖浓度及血糖变化幅度调控危重病人血糖的方法优于单纯依据血糖浓度的调控方法。Objective：To investigate blood glucose regulating method for treating serious stress hyperglycemia patients in ICU.Methods：52 serious stress hyperglycemia patients in ICU were randomly divided into 2 groups,with 26 patients in each group： Group A（by blood glucose levels） and Group B（by blood glucose levels and variation scope）.The blood glucose before treatment and 3 days after treatment,incidence rate of hypoglycemia（2.2mmol/L） during treatment and time of getting target blood glucose were respectively detected.Results：After treatment,the blood glucose of patients in 2 groups were all get target level;before treatment,every day after treatment,the blood glucose level of 2 groups had no obvious differences.During treatment,the incidence rate of hypoglycemia of Group B was obviously lower than Group A（P0.05）.The time of getting target blood glucose of Group B was obviously shorter than Group A（P0.05）.Conclusions：The method of controlling blood glucose by blood glucose levels and variation scope is better than by blood glucose levels only.

关 键 词：血糖 应激性高血糖 变化幅度 调控 

分 类 号：R587.1[医药卫生—内分泌]