糖尿病酮症酸中毒的急诊综合治疗的疗效观察  

Effect of emergency comprehensive treatment on diabetic ketoacidosis

作　　者：徐波 汪娟[1] 陈安清[1] XU Bo1, WANG Juan2, CHEN An-qing3(Emergency Department, Huangshi Central Hospital, Edong Medical Group 435000, Chin)

机构地区：[1]鄂东医疗集团黄石市中心医院急诊科,湖北黄石435000

出　　处：《糖尿病天地》2018年第2期12-13,共2页Diabetes World

摘　　要：目的探究糖尿病酮症酸中毒的急诊处理及疗效。方法随机选取2016年04月至2017年12月收治的糖尿病酮症酸中毒患者共80例，作为研究对象，按掷币法分为两组，即观察组（综合治疗组），对照组（常规胰岛素治疗组）。结果观察组经干预后的血糖恢复时间、尿酮消失时间、酸中毒纠正时间均短于对照组经干预后数据，P值小于0．05，统计学差异较为明显。观察组经干预后的并发症发生率低于对照组经干预后的并发症发生率，P值小于0．05，统计学差异较为明显。结论一旦发病后立即给予补液、扩容及小剂量滴注胰岛素治疗，与此同时补充钾离子，有利于提高抢救成功率。Objective Study on Emergency treatment and curative effect of Diabetic ketoacidosiso Methods A total of 80 patients with diabetic ketoacidosis treated in our hospital from 2016 to December 2017 were selected randomly.They were divided into two groups according to the toss method, namely the observation group （the comprehensive treatment group） and the control group （the regular insulin treatment group）.80 cases of diabetic ketoacidosis patients were randomly divided into two groups. Results The recovery time of blood glucose, the time of disappearance of urinary ketone and the time of acidosis＇correction in the observation group were shorter than those in the control group after intervention （P 〈0.05）.The incidence of complications after intervention in the observation group was lower than that in the control group （P〈0.05） o Conclusion Once the rehydration is given immediately after the onset of the disease, the dilatation and small dose infusion of insulin, at the same time supplementing the potassium ion, will help to improve the success rate of the rescue.

关 键 词：糖尿病酮症酸中毒 急诊综合治疗 常规治疗 疗效 

分 类 号：R781.64[医药卫生—口腔医学]