护理干预对颅脑外伤后高血糖患者治疗转归的影响  

Influence of nursing intervention on the prognosis of patients with hyperglycemia after craniocerebral trauma

作　　者：周德清[1] 游永华[1] 严辉竹 刘华丽[1] 袁志先 

机构地区：[1]四川简阳市人民医院重症医学科,简阳641400

出　　处：《中国实用神经疾病杂志》2015年第4期119-120,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨护理干预对颅脑外伤后高血糖患者治疗转归的影响。方法 360例颅脑外伤患者根据入院后动态血糖监测结果将220例血糖升高患者设为观察组,其余140例血糖正常患者为对照组,2组均给予积极护理干预,观察组根据血糖水平及时调整胰岛素用量。结果观察组45例(20.45%)血糖持续增高,因伤势严重死亡,对照组23例(16.43%)死亡,2组病死率比较差异有统计学意义(χ2=9.85,P<0.05)。2组入院时、第1天血糖水平比较差异无统计学意义(t1=2.34,t2=3.31,P>0.05);入院第3、7天观察组平均血糖水平明显高于对照组,差异有统计学意义(t1=2.64,t2=4.02,P<0.05),第10天血糖水平恢复正常,与对照组比较差异无统计学意义(t=2.74,P>0.05)。结论对颅脑外伤后高血糖患者采取积极护理干预,能及时降低血糖水平,减轻对脑细胞的损害,降低病死率,有利于患者的转归。Objective To investigate the effect of nursing intervention on prognosis of patients with hyperglycemia after craniocerebral trauma.Methods 360 patients with craniocerebral trauma were divided into observation group（n=220,with elevated blood glucose）and control group（n=220,with normal blood glucose）according to the results of continuous glucose monitoring.Two groups were received with active nursing intervention and glucose monitoring.Results The fatality rate and blood glucose level at 3d and 7din the observation group were higher than these in the control group（20.45% vs 16.43%,7.52mmol/L±1.25mmol/L vs 6.17mmol/L±0.58mmol/L,12.38mmol/L±4.77mmol/L vs 6.18mmol/L±0.65mmol/L）,which had significant differences.Conclusion The active nursing intervention can effectively lower the blood glucose level,reduce brain cell damage and fatality rate for patients with hyperglycemia after craniocerebral trauma.

关 键 词：护理干预 颅脑外伤 高血糖 血糖水平 

分 类 号：R473.6[医药卫生—护理学]