严重高血糖的老年糖尿病非酮症高渗性昏迷急救效果分析  

Analysis of First Aid Effect in Elderly Diabetic Nonketotic Hyperosmolar Coma with Severe Hyperglycemia

作　　者：刘畅[1] 陆影 LIU Chang;LU Ying(Department of Emergency Medicine,Jilin Provincial People's Hospital,Changchun,Jilin Province,130021 China;Outpatient Department of the 93175 Army of the Chinese People's Liberation Army,Changchun,Jilin Province,130000 China)

机构地区：[1]吉林省人民医院急诊内科,吉林长春130021 [2]中国人民解放军93175部队门诊部,吉林长春130000

出　　处：《糖尿病新世界》2022年第12期39-41,55,共4页Diabetes New World Magazine

摘　　要：目的研究患者发生非酮症高渗性昏迷的急救效果。方法选取2019年1月—2021年5月该院收治的78例严重高血糖的老年糖尿病患者作为研究对象,随机分为对照组和观察组,每组39例。对照组采用单一静脉滴注治疗和传统大剂量胰岛素治疗方案,观察组采用联合补液,小剂量滴注胰岛素治疗方案。观察两组血糖水平、治疗有效率。结果观察组急救后空腹血糖和餐后2 h血糖分别为(6.03±1.96)、(7.17±2.03)mmol/L,优于对照组(7.43±1.45)、(8.62±2.54)mmol/L,差异有统计学意义(P<0.05)。,观察组治疗有效率89.74%显著高于对照组69.23%,差异有统计学意义(χ^(2)=5.032,P<0.05)。结论采用联合补液和小剂量滴注胰岛素方案在血糖水平,不良反应发生率等方面明显优于单一静脉滴注和传统大剂量胰岛素治疗,可在临床治疗中推广。Objective To study the emergency effect of patients with severe hyperglycemia.Methods A total of 78 nonketotic hyperosmolar coma in elderly diabetic patients admitted to the hospital from January 2019 to May 2021 were selected as the research objects and randomly divided into the control group and the observation group,with 39 cases in each group,and the control group was treated with single intravenous drip therapy and traditional high-dose insulin therapy.The observation group was treated with combined fluid infusion and low-dose insulin infusion.Observed the blood glucose level and the effective rate of treatment in the two groups.Results The fasting blood glucose and 2 h postprandial blood glucose of the observation group were(6.03±1.96)mmol/L and(7.17±2.03)mmol/L after first aid,which were better than the control group were(7.43±1.45)mmol/L,(8.62±2.54)mmol/L,the difference was statistically significant(P<0.05).The treatment effective rate 89.74%in the observation group was significantly higher than that in the control group 69.23%,and the difference was statistically significant(χ^(2)=5.032,P<0.05).Conclusion The combination of fluid infusion and low-dose insulin infusion is significantly better than single intravenous infusion and traditional high-dose insulin therapy in terms of blood glucose level and incidence of adverse reactions,and can promoted in clinical treatment.

关 键 词：糖尿病 非酮症高渗性昏迷 急救效果 

分 类 号：R587.1[医药卫生—内分泌]