持续微量泵静脉输注胰岛素监控ICU重症患者高血糖的护理  

Nursing Analysis of Continuous Infusion of Insulin by Micro Pump for Monitoring Hyperglycemia in ICU Patients

作　　者：陈梅娟 CHEN Meijuan(Department of Critical Care Medicine,Affiliated Hospital of Putian University,Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院重症医学科,福建莆田351100

出　　处：《中国卫生标准管理》2022年第7期144-147,共4页China Health Standard Management

摘　　要：目的探究并分析持续微量泵静脉输注胰岛素监控ICU重症患者高血糖的护理方式及价值。方法从2019年8月—2020年10月在医院ICU治疗的重症患者中随机选取80例,其均接受持续微量泵静脉输注胰岛素监控,根据护理方式不同将其分为实施常规护理的对照组(40例)和实施综合护理的观察组(40例),对两组护理满意度进行统计,详细记录两组血糖恢复的时间、平均每天注射的胰岛素的剂量,对两组低血糖事件的发生率进行统计,在护理前后,对两组患者的空腹血糖水平、餐后2 h血糖水平进行检测,将两组结果进行统计学比较。结果在护理满意度方面,与对照组(80.00%)相比较,观察组(97.50%)更高,差异有统计学意义(P<0.05);与对照组相比较,观察组血糖恢复的时间更短,平均每天注射的胰岛素剂量更少,并且低血糖事件的发生率更低,差异有统计学意义(P<0.05);在血糖水平方面,与对照组相比较,护理前,观察组与其差异无统计学意义(P>0.05),但是经过不同的护理后,两组空腹血糖水平、餐后2 h血糖水平均降低,观察组更低,差异有统计学意义(P<0.05)。结论对ICU重症患者实施持续微量泵静脉输注胰岛素监控治疗的过程中,对患者配合实施综合护理,能够有效促进患者血糖的水平的恢复,并且还能减少胰岛素的使用剂量,减少低血糖事件的发生,护理满意度较高,有较高的推广价值。Objective To explore and analyze the nursing method and value of continuous micro pump intravenous infusion of insulin for monitoring hyperglycemia in ICU patients.Methods From August 2019 to October 2020,a total of 80 critically ill patients in ICU of our hospital were randomly selected,all of them were received continuous micro pump intravenous insulin infusion monitoring.According to the different nursing methods,they were divided into the control group(40cases)with routine nursing and the observation group(40 cases)with comprehensive nursing.The nursing satisfaction of the two groups was counted,the time of blood glucose recovery and the average daily dose of insulin injected in the two groups were recorded in detail,and the incidence of hypoglycemia events in the two groups was counted.Before and after nursing,the fasting blood glucose levels and 2 h postprandial blood glucose levels of the two groups were detected,and the results of the two groups were statistically compared.Results In terms of nursing effect,compared with the control group(80.00%),the observation group(97.50%)was higher,the difference was statistically significant(P<0.05);compared with the control group,the blood glucose recovery time of the observation group was shorter,the average daily dose of insulin injection was less,and the incidence of hypoglycemia was lower,the difference was statistically significant(P<0.05);in terms of blood sugar level,compared with the control group,before nursing,there was no significant difference between the observation group and the control group(P>0.05).But after different nursing,the fasting blood glucose levels and 2 h postprandial blood glucose levels in the two groups were decreased,and the observation group was lower,and the difference was statistically significant(P<0.05).Conclusion In the process of continuous micro pump intravenous insulin infusion monitoring treatment for ICU patients,comprehensive nursing can effectively promote the recovery of blood glucose level,reduce the dosage of insulin,an

关 键 词：持续微量泵 静脉输注 胰岛素 ICU 重症患者 高血糖 综合护理 

分 类 号：R587[医药卫生—内分泌]