持续泵注生长抑素治疗急性胰腺炎后发生低血糖反应的护理体会  

Nursing experience of the occurrence of hypoglycemia reaction after continuous infusion of somatostatin in the treatment of acute pancreatitis

作　　者：金红芳[1] 章锃瑜[1] 田军[1] 

机构地区：[1]杭州市萧山区第一人民医院消化内科,浙江杭州311201

出　　处：《中国现代医生》2017年第10期152-154,158,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2014KYB225);浙江省杭州市卫生科技计划(一般)项目(2016B17)

摘　　要：目的探讨持续泵注生长抑素治疗急性胰腺炎发生低血糖反应的护理方法。方法对174例急性胰腺炎患者泵注生长抑素治疗后,采用单独、持续给药,密切观察血糖变化,加强饮食护理及营养支持、健康宣教等护理,总结持续泵注生长抑素治疗急性胰腺炎发生低血糖的护理体会。结果发生低血糖反应的17例患者经过及时治疗及系统护理,均未发生低血糖昏迷等严重并发症,病情稳定后出院。结论持续泵注生长抑素治疗急性胰腺炎,通过科学的用药指导、及时治疗及系统护理,可以极大程度减少患者的低血糖反应,提高急性胰腺炎的抢救成功率。Objective To explore the nursing method of the occurrence of hypoglycemia reaction after continuous infu- sion of somatostatin in the treatment of acute pancreatitis. Methods 174 patients with acute pancreatitis were treated with separate and sustained administration after the injection of somatostatin treatment. The changes of blood glucose were observed. The cares including diet and nutritional support and health education were strengthened. Nursing expe- rience of the occurrence of hypoglycemia reaction after continuous injection of somatostatin in the treatment of acute pancreatitis was summarized. Results 17 patients with hypoglycemia had no any serious complications such as hypo- glycemia and coma after being treated in a timely and systematic manner. They were discharged from the hospital after stable condition. Conclusion Continuous injection of somatostatin in the treatment of acute pancreatitiscan reduce the patient＇s hypoglycemia reaction to a great extent and improve the success rate of acute pancreatitis rescue, through sci- entific medication guidance, timely treatment and systematic care.

关 键 词：生长抑素 急性胰腺炎 低血糖反应 护理 

分 类 号：R473.5[医药卫生—护理学]