冠状动脉旁路移植术后患者高血糖影响因素分析  

Analysis of influence factors of hyperglycemia after coronary artery bypass grafting

作　　者：李民[1] 李权 樊国亮[1] 李启文 刘文贤[1] 黄然 LI Min;LI Quan;FAN Guoliang;LI Qiwen;LIU Wenxian;HUANG Ran(Teda International Cardiovascular Hospital, Tianjin 300457)

机构地区：[1]泰达国际心血管病医院,天津300457

出　　处：《天津护理》2019年第1期59-61,共3页Tianjin Journal of Nursing

摘　　要：目的:了解冠状动脉旁路移植术后患者血糖控制情况,分析影响血糖升高的因素,为临床上高血糖的预防和降低血糖升高的护理措施提供依据。方法:回顾性分析2013至2016年单纯冠状动脉搭桥术患者418例,根据术后第1日早晨06:00时监测随机血糖值分为未达标组(血糖≥10 mmol/L)和达标组,分析影响术后发生高血糖的因素。结果:术后第1天早晨06:00血糖升高与体外循环、体重指数、心脏手术危险因素、糖尿病史有关(P<0.05),与年龄、血管活性药物的应用无关。结论:心脏外科术后发生高血糖与多个因素有关,需采取相应措施以免高血糖事件的发生。Objective: To understand the blood glucose control in patients after coronary artery bypass grafting, and to analyze its influence factors, so as to provide the basis for the prevention of hyperglycemia and the nursing measures to reduce the increase of blood sugar. Methods: 418 patients who underwent coronary artery bypass grafting from 2013 to 2016 were analyzed retrospectively. According to the blood glucose level monitored at 6:00 am. on the first day after coronary artery bypass grafting, the patient were divided into two groups: unqualified group (blood glucose≥10 mmol/L) and qualified group. Results: The increase of blood glucose at 6:00 am. on the first day after operation was related to cardiopulmonary bypass, body mass index, risk factors of cardiac surgery and diabetes history(P<0.05), which was not related to the application of age and the use of vasoactive drugs. Conclusion: Hyperglycemia after cardiac surgery is related to many factors. Attention should be paid to prevent hyperglycemia.

关 键 词：冠状动脉旁路移植术 高血糖 影响因素 

分 类 号：R473.6[医药卫生—护理学]