胃肠内补液结合静脉补液对老年非酮症糖尿病高渗性昏迷患者血生化指标与术后并发症的影响  

The Effect of Gastrointestinal Fluid Rehydration Combined with Intravenous Fluid Rehydration on Blood Biochemical Indexes and Postoperative Compli-cations in Elderly Patients with Nonketotic Diabetic Hyperosmolar Coma

作　　者：许海军[1] XU Haijun(Department of Critical Care Medicine,Zhangjiagang First People's Hospital,Suzhou,Jiangsu Province,215600 China)

机构地区：[1]张家港市第一人民医院重症医学科,江苏苏州215600

出　　处：《糖尿病新世界》2021年第6期181-183,共3页Diabetes New World Magazine

摘　　要：目的探讨胃肠内补液结合静脉补液对老年非酮症糖尿病高渗性昏迷患者血生化指标与术后并发症的影响。方法选取2010年1月—2019年12月80例老年非酮症糖尿病高渗性昏迷患者,数字表法分成观察组(n=40)和对照组(n=40),对照组采取静脉补液,观察组采取胃肠内补液结合静脉补液,观察两组患者苏醒时间、渗透压正常时间、休克纠正时间及生化指标、并发症情况。结果与对照组相比较,观察组苏醒时间、渗透压正常时间、休克纠正时间明显缩短,差异有统计学意义(P<0.05);两组治疗后血糖、血钾、血钠、血浆渗透压均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(2.50%)低于对照组(15.00%),差异有统计学意义(P<0.05)。结论胃肠内补液结合静脉补液对老年非酮症糖尿病高渗性昏迷患者具有明显作用,可改善生化指标,预防术后并发症发生,促进患者康复,应用价值高。Objective To investigate the effect of gastrointestinal fluid rehydration combined with intravenous fluid rehydration on blood biochemical indexes and postoperative complications in elderly patients with nonketotic diabetic hyperosmolar coma.Methods From January 2010 to December 2019,80 elderly patients with nonketotic diabetic hyperosmolar coma were selected and divided into observation group(n=40)and control group(n=40)by digital table method.The control group was given intravenous fluids.In the observation group,gastrointestinal rehydration combined with intravenous rehydration was used to observe the recovery time,normal osmotic pressure time,shock correction time,biochemical indicators,and complications in the two groups.Results Compared with the control group,the observation group's wake-up time,normal osmolality time,and shock correction time were significantly shorter,and the difference was statistically significant(P<0.05);blood glucose,blood potassium,blood sodium,and plasma osmolality after treatment in the two groups were all lower than before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05);the observation group's complication rate(2.50%)was lower than the control group(15.00%),and the difference was statistically significant(P<0.05).Conclusion Gastrointestinal fluid rehydration combined with intravenous fluid rehydration has a significant effect on elderly patients with non-ketotic diabetic hyperosmolar coma.It can improve biochemical indicators,prevent postoperative complications,and promote patient recovery.It has high application value.

关 键 词：胃肠内补液 静脉补液 老年非酮症糖尿病高渗性昏迷 生化指标 并发症 

分 类 号：R587.1[医药卫生—内分泌]