非糖尿病病人冠状动脉旁路移植术后早期血糖变化及护理  

Early changes of blood glucose after coronary artery bypass grafting in patients with non-diabetes mellitus and its nursing care

作　　者：李栩亭 危娟 莫红平 张美芬[1] 

机构地区：[1]中山大学护理学院 [2]番禺区中心医院 [3]中山大学孙逸仙纪念医院

出　　处：《循证护理》2017年第4期298-302,共5页Chinese Evidence-Based Nursing

基　　金：广东省财政厅产业技术研究与开发科研专项项目;编号:131171

摘　　要：[目的]探讨冠状动脉旁路移植术后早期病人血糖变化的特点,总结护理方法。[方法]采用回顾性调查方法,对广州市某三级甲等综合医院2011年—2013年137例行体外循环冠状动脉旁路移植术的非糖尿病病人的术后血糖值进行记录分析。[结果]冠状动脉旁路移植术后早期高血糖的发生率为72.4%;血糖峰值出现于术后14h至第1日06:00,术后1d06:00晨血糖值开始呈下降趋势,至术后3d血糖逐渐降至正常水平。[结论]非糖尿病病人冠状动脉旁路移植术后早期高血糖的发生率高,应引起重视,血糖峰值出现在术后14h至第1日晨时间段。明确血糖控制标准、正确监测血糖、有效应用胰岛素控制血糖都是针对病人术后早期高血糖的有效护理措施。Objective.To investigate the characteristics of blood glucose changes in pationts with coronany artery bypass grafting and summarive the nursing methods. Methods. A retrospective analysis study was used. The blood glucose values of 137 nondiabetes patients who had undervrent coronary artery bypass grafting during 2011 to 2013 at a certain first-class hospital in Guangzhou were retrospectively studied. Results.In 137 patients, the incidence of early hyperglycemia after coronary artery bypass grafting was 72.4 %. The blood glucose peak appeared at postoperative 14 hours to 6 AM of the first day after surgery. The postoperative blood glucose levels declined on the first day after surgery and gradually declined to normal level on the third day after surgery. Conclusions. The incidence of early postoperative hyperglycemia was high in patients undergoing coronary artery bypass grafting,that needed attention, and the blood glucose peak appeared at postoperative 14 hours to the morning of the first day after surgery. The effective nursing interventions included certainty of standards of blood glucose control, monitoring blood glucose correctly and proper use of insulin.

关 键 词：冠状动脉旁路移植术 术后 高血糖 峰值 护理 

分 类 号：R473.6[医药卫生—护理学]