观察急诊ICU患者采用强化胰岛素治疗的疗效  

Observation of the curative effect of emergency ICU in patients with intensive insulin treatment

作　　者：汪春湖[1] 

机构地区：[1]温州市中医院急诊科,浙江温州325000

出　　处：《临床医药文献电子杂志》2015年第4期681-682,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的：探讨急诊重症加强治疗病房（ICU）患者采用强化胰岛素治疗的疗效。方法采用回顾性方法分析，选取我院2013年1月～2014年1月收治的48例急诊ICU患者，随机分为对照组及观察组，每组各24例，对照组给予常规胰岛素治疗，观察组给予强化胰岛素治疗，比较两组患者的疗效。结果观察组患者院内感染发生率（8.33%）明显低于对照组（25.00%），且低血糖发生率（4.17%）低于对照组（16.67%），差异均具有统计学意义（P＜0.05）。观察组患者住院时间（12.52±2.93）天低于对照组（15.91±3.42）天，差异具有统计学意义（t=12.362，P＜0.05）。结论急诊ICU患者采用强化胰岛素治疗可以降低院内感染发生率，缩短住院时间，值得大力推广应用。ObjectiveEmergency department and ICU patients using clinical effect of intensive insulin therapy.MethodsBy adopting the method of retrospective analysis, Select our hospital from January 2013 - since January 2014 were analyzed the clinical data of 48 cases of emergency ICU patients. Were randomly divided into control group and observation group, Each group of 24 cases. The control group given conventional insulin therapy. Observation group was given intensive insulin therapy. Compare the clinical effect of two groups of patients.ResultsObservation group of patients with nosocomial infection incidence （8.33%） . Significantly lower than the control group （25.00%）. And the incidence of hypoglycemia （4.17%） is lower than the control group （16.67%）. The differences were statistically signiifcant （P〈0.05）. Observation group of patients in hospital time （12.52 ±＋ 2.93） is lower than the control group （15.91 ± 3.42） days. Statistically signiifcant difference （t= 12.362,P〈0.05）.ConclusionEmergency ICU patients with intensie insulin therapy can reduce the incidence of nosocomial infection incidence. To shorten the length of time, is worth promoting the application.

关 键 词：强化胰岛素 急诊ICU 临床疗效 

分 类 号：R459.7[医药卫生—急诊医学]