胃肠道补液为主结合静脉补液治疗老年酮症酸中毒可行性分析  

The Feasibility of Intravenous Fluid Therapy Combined with Gastrointestinal Fluid in Elderly Diabetic Ketoacidosis

作　　者：郑莹倩 

机构地区：[1]海南省儋州市农垦那大医院急诊科,571700

出　　处：《医学理论与实践》2014年第18期2393-2395,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨胃肠道补液为主结合静脉补液治疗老年酮症酸中毒临床价值。方法:选择89例患者,其中观察组45例使用胃肠道补液为主结合静脉胶体补液维持方案,并与单纯实施静脉补液治疗的对照组比较,在治疗24h内统计患者补液总量并监测患者血糖、血钠和血钾变化情况,记录尿酮体消失和患者意识恢复时间。结果:观察组4h、6h、12h和24h补液量高于对照组(P<0.05),尿酮体消失时间以及意识恢复时间快于对照组(P<0.05),治疗后24h血糖、血钠及血钾低于对照组(P<0.05)。结论:胃肠道补液为主结合静脉胶体液维持,能较快的改善老年酮症酸中毒患者病理生理状态,促进患者意识恢复。Objective：To investigate the the feasibility of Intravenous fluid therapy combined with gastrointestinal fluid in elderly diabetic ketoacidosis.Methods：89cases were chosen,the observation group（45cases）were used gastrointestinal fluid combined with maintaining by intravenous rehydration colloidal,the control group were only simple implemented with intravenous fluid therapy,the rehydration and change monitoring of blood glucose,serum sodium and serum potassium,recovery time record urine ketone bodies disappear and the patients＇ consciousness were compared in the treatment of patients within 24 hours.Results：In the observation group,4h,6h,12 hand 24h intake were higher than control group（P〈0.05）,urine acetone bodies disappear time and consciousness recovered were faster than control group（P〈0.05）,24 hafter treatment the blood glucose,sodium and potassium were lower than control group（P〈0.05）.Conclusion：Gastrointestinal fluid infusion combined with intravenous colloids maintain can quickly improve the pathological and physiological conditions with the elderly diabetic ketoacidosis,so it can promote the patient recover consciousness.

关 键 词：胃肠道补液 静脉补液 老年 酮症酸中毒 

分 类 号：R589.6[医药卫生—内分泌]