糖尿病患者手术时用与不用钠钾镁钙葡萄糖注射液效果分析  

Analysis of Effect of Diabetic Patients with and without Sodium,Potassium,Magnesium,Calcium and Glucose Injection

作　　者：阙丽琴 陈玲凤 QUE Li-qin;CHEN Ling-feng(The First Affiliated Hospital of Xiamen(Xinglin Branch),Xiamen,Fujian Province,361022 China)

机构地区：[1]厦门附属第一医院(杏林分院),福建厦门361022

出　　处：《糖尿病新世界》2020年第14期36-37,40,共3页Diabetes New World Magazine

摘　　要：目的探讨糖尿病患者手术时用或不用钠钾镁钙葡萄糖注射液的效果。方法回顾性分析2017年5月—2019年7月该院收治的88例糖尿病患者,研究组44例采用钠钾镁钙葡萄糖注射液,参照组44例采用乳酸钠林格注射液,比较两组患者不同输注时刻的空腹血糖水平及电解质。结果在t2~t5时,两组空腹血糖水平均高于术前,且研究组血糖水平高于参照组,差异有统计学意义(P<0.05);在t2~t5时,研究组血酮降低,参照组血酮升高,组间差异有统计学意义(P<0.05);对比两组电解质,差异无统计学意义(P>0.05)。结论在手术中输注500 mL钠钾镁钙葡萄糖注射液虽能抑制糖尿病患者酮体生成,但会升高患者血糖水平。Objective To investigate the effect of diabetic patients with or without sodium,potassium,magnesium,calcium and glucose injection.Methods A retrospective analysis of 88 diabetic patients admitted to the hospital from May 2017 to July 2019,44 patients in the study group used sodium potassium magnesium magnesium calcium glucose injection,and 44 patients in the reference group used Sodium Lactate Ringer's Injection,to compare the two groups of patients of fasting blood glucose levels,and electrolytes at different infusion times.Results At t2-t5,the fasting blood glucose level of the two groups was higher than that before surgery,and the blood glucose level of the study group was higher than that of the reference group.The blood ketone levels in the reference group were statistically significant difference(P<0.05);there was no statistically significant difference between the two groups of electrolytes(P>0.05).Conclusion Although 500 mL of sodium,potassium,magnesium,calcium and glucose infusion during surgery can inhibit the production of ketone bodies in diabetic patients,it will increase the blood glucose level of patients.

关 键 词：糖尿病 手术输注 钠钾镁钙葡萄糖注射液 

分 类 号：R47[医药卫生—护理学]