持续微量泵静脉注射胰岛素控制ICU重症患者高血糖的护理  

Nursing care of patients with severe hyperglycemia in ICU treated by continuous micro pump intravenous insulin

作　　者：毛洁花 邓道喜[1] 郑旭银 

机构地区：[1]广东省粤北人民医院重症医学科,广东韶关512000

出　　处：《吉林医学》2017年第5期967-969,共3页Jilin Medical Journal

摘　　要：目的:分析持续微量泵静脉注射胰岛素控制ICU重症患者高血糖的护理效果。方法:纳入此研究中的63例研究对象均为ICU重症患者,所有患者均进行持续微量泵静脉注射胰岛素治疗,按照历史对照分为观察组和对照组,两组患者的护理模式分别为常规护理以及综合式护理,对比其两组患者首次达到目标血糖范围用时,使用胰岛素静脉泵2~48 h血糖波动幅度(血糖最高值-血糖最低值),低血糖发生次数。结果:观察组和对照组患者分别经过护理后,两组患者首次达到目标血糖范围用时,使用胰岛素静脉泵2~48 h血糖波动幅度,低血糖发生次数,均少于对照组,数据间经比较后P<0.05,统计学意义产生。结论:持续微量泵静脉注射胰岛素控制ICU重症患者应采取综合式护理,其效果良好,有利于患者血糖达到目标血糖范围,减少血糖波动和低血糖的发生。Objective To analyze the effect of continuous micro pump intravenous injection of insulin in the control of hyper-glycemia in patients with severe ICU. Method A total of 63 subjects in this study were in our hospital of ICU critically ill pa-tients, all patients underwent continuous micro pump intravenous insulin therapy, according to the historical control group they were divided into observation group and control group, nursing mode of two groups of patients were routine nursing and compre-hensive nursing comparing the two groups of patients,for the first time to reach the target blood glucose range when using intrave-nous insulin pump after 2h to 48 h blood glucose fluctuations （ maximum - minimum value of blood glucose） , hypoglycemi-a. Results The observation group and control group respectively after treatment, two groups of patients for the first time to reach the target blood glucose range when using intravenous insulin pump after 2 h to 48 h blood glucose fluctuations and hypoglycemia were less than the control group, by comparison between the data after, with statistical significance （ P 〈 0.05 ）.Conclusion Continuous micro pump intravenous injection of insulin in patients with severe ICU should be integrated care, the effect is good, is conducive to patients with blood sugar to reach the target blood glucose range, reduce blood glucose fluctuations and hypoglycemia.

关 键 词：微量泵 胰岛素 重症监护 护理 

分 类 号：R473.5[医药卫生—护理学]