高渗性高血糖状态合并糖尿病酮症酸中毒60例的护理  

Nursing for 60 Cases of Hyperosmolar Hyperglycemic State Associated With Diabetic Ketoacidosis

作　　者：寇留兰[1] 

机构地区：[1]武汉市中医医院内分泌科,湖北武汉430012

出　　处：《糖尿病新世界》2015年第19期125-127,共3页Diabetes New World Magazine

摘　　要：目的探析高渗性高血糖状态合并糖尿病酮症酸中毒60例的护理。方法入选该院2013年8月—2014年7月高渗性高血糖状态合并糖尿病酮症酸中毒病人60例,根据随机数字表法分为研究组、对照组,每组30例,研究组进行全程规范化干预性护理;对照组应用常规护理,比较两组患者的护理依从性、护理满意度;比较两组护理后的空腹血糖、餐后2 h血糖、糖化血红蛋白等临床指标;比较两组血糖控制、死亡、复发发生情况。结果研究组的护理依从性、护理满意度显著优于对照组,差异有统计学意义(P<0.05);研究组护理后的空腹血糖、餐后2 h血糖、糖化血红蛋白等临床指标显著优于对照组,差异有统计学意义(P<0.05);研究组血糖控制情况显著优于对照组,差异有统计学意义(P<0.05);研究组发生死亡、复发情况显著低于对照组,差异有统计学意义(P<0.05)。结论对高渗性高血糖状态合并糖尿病酮症酸中毒病人进行全程规范化干预护理,可显著控制血糖水平,降低死亡及复发情况,提高其护理依从性及满意度,效果确切,值得临床推广。Objective To explore the nursing for 60 cases of hyperosmolar hyperglycemic state associated with diabetic ke-toacidosis. Methods 60 patients of hyperosmolar hyperglycemic state associated with diabetic ketoacidosis treated from Au-gust 2013 to July 2014 in our hospital were selected. The patients were randomly divided into study group and control group, 30 cases each group. The study group adopted the normalized nursing during the whole course; the control group adopted the conventional nursing. The patient ’s compliance, satisfaction, clinical index of fasting blood-glucose, 2h post-prandial blood glucose, glycosylated hemoglobin as well as blood glucose control and incidence of death and recurrence of two groups was compared. Results The patient’s compliance and satisfaction of study group was better than that of control group （P〈0.05）;the clinical index of fasting blood-glucose, 2 h postprandial blood glucose, glycosylated hemoglobin of study group was better than that of control group （P〈0.05）;the blood glucose control of study group was better than that of control group （P〈0.05）; the incidence rate of death and recurrence of study group was lower than that of control group （P〈0.05）. Conclusion For patients of hyperosmolar hyperglycemic state associated with diabetic ketoacidosis, the normalized nursing can greatly control the blood glucose level, reduce the incidence rate of death and recurrence and improve the patient ’s compliance and satisfaction. The obvious effect is worthy of clinical promotion.

关 键 词：临床观察 全程规范化干预性护理 糖尿病酮症酸中毒 高渗性高血糖 

分 类 号：R473.5[医药卫生—护理学]