46例老年糖尿病非酮症高渗性昏迷患者的临床治疗效果分析  

Clinical Analysis of 46 Senile Diabetic Nonketotic Hyperosmolar Coma Patients

作　　者：胡明森 刘金星 HU Mingsen;LIU Jinxing(Department of Critical Care Medicine,Rizhao Central Hospital,Rizhao,Shandong Province,276800 China)

机构地区：[1]日照市中心医院重症医学科,山东日照276800

出　　处：《糖尿病新世界》2023年第2期48-51,共4页Diabetes New World Magazine

摘　　要：目的 针对老年糖尿病非酮症高渗性昏迷患者进行联合补液治疗的效果展开分析。方法 选取2019年1月—2022年3月在日照市中心医院重症医学科接受治疗的老年糖尿病非同高渗性昏迷患者46例为研究对象,按照随机数表法分对照组和观察组,各23例,对照组予以单一的静脉补液治疗,观察组则在此基础上加以胃肠内补液治疗,对两组的临床治疗结果展开对比。结果 治疗前,两组患者血糖、血浆渗透压、血钠及血钾水平对比,差异无统计学意义(P>0.05),治疗后,两组患者血糖、血浆渗透压、血钠水平均有所下降,且观察组低于对照组,但血钾水平升高,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 老年糖尿病非酮症高渗性昏迷患者通过静脉补液结合胃肠内补液治疗的效果显著,可以改善患者的生化指标,降低并发症发生率。Objective In order to analyze the effect of combined fluid therapy on senile diabetic nonketotic hyperosmolar coma patients.Methods A total of 46 elderly diabetic non-homogenous coma patients treated in Department of Critical Care Medicine of Rizhao Central Hospital from January 2019 to March 2022 were selected as the research objects,and were divided into the control group and the observation group according to random number table method,with 23 cases in each group.The control group was given a single intravenous fluid therapy,and the observation group was given gastrointestinal fluid therapy on the basis of this,and the clinical treatment results of the two groups were compared.Results Before treatment,the level of blood glucose,plasma osmotic pressure,blood sodium and blood potassium of the two groups were compared,the difference was not statistically significant(P>0.05).After treatment,blood glucose,plasma osmotic pressure and blood sodium levels in the two groups were decreased,and the observation group was lower than the control group,but the blood potassium level was increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The complication rate in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion In elderly diabetic nonketotic hyperosmolar coma patients,intravenous fluid therapy combined with gastrointestinal fluid therapy has significant effects,which can improve the biochemical indexes of patients and reduce the incidence of complications.

关 键 词：老年人 糖尿病非酮症高渗性昏迷 临床分析 效果 

分 类 号：R4[医药卫生—临床医学]