高血糖危重患者血糖控制水平与疗效、死亡率的分析  

Analysis of Blood Sugar Control Level of Hyperglycemia Critical Patients and Treatment Effect, Death Rate

作　　者：闫慧[1] 乔莉莉[1] 

机构地区：[1]山西临汾市人民医院内分泌科重症医学科,041000

出　　处：《内蒙古中医药》2013年第30期61-62,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的：观察收治ICU高血糖的危重患者，血糖控制水平与死亡率之间的关系。方法：2011年3月-2013年3月入住ICU的患者123例，将患者分随机分为A组（62例）和B组（61例），A组血糖控制目标：4.4～6.1mmol／L,B组血糖控制目标：7.0～9.0mmol／L。结果：A组ICU住院天数、需机械通气患者机械通气天数、院内感染发生率、抗生素应用天数、病死率同B组相比较无统计学差异口哆0.05），低血糖发生率则高于B组（P〈0.01）。结论：在危重高血糖患者将血糖控制目标适当放宽，其临床疗效、死亡率与正常血糖组相似，但减少了低血糖的发生率。Objective： By observing and treating ICU critical hyperglycemia patients, the relation between blood sugar control level and death rate is explored. Method： from March 2011 to March 2013 there have been 123 patients hospitalized in ICU. These patients were randomly divided into Group A （62 patients） and Group B （61 patients）. And the blood sugar control target for Group A is 4.4-6.1 mmol/L, and that of Group B is 7.0-9.0mmol/L. Result： No statistical difference （P〉0.05） has been found between Group A and Group B in the aspects of hospitalized duration in ICU, mechanical ventilation duration when mechanical ventilation was required, nosocomial infection incidence, antibiotics apphcation duration and death rate. The hypoglycemia incidence of Group A is higher than Group B （P〈0.01）. Conclusion： for critical hyperglycemia patients, blood sugar control target shall be relaxed appropriately so that the clinical treatment effect and death rate stay similar to those of the group with normal blood sugar, while the incidence of hypoglycemia is reduced.

关 键 词：胰岛素治疗 危重病 高血糖 

分 类 号：R587.1[医药卫生—内分泌]