糖尿病高渗性昏迷患者综合急诊护理的应用效果  

Application Effect of Comprehensive Emergency Nursing in Patients with Diabetic Hyperosmolar Coma

作　　者：施金娜 乐彩凤 谢文莉[1] SHI Jinna;LE Caifeng;XIE Wenli(Department of Emergency,the Second Affiliated Hospital of Fujian Medical University,Quanzhou,Fujian Province,362241 China)

机构地区：[1]福建医科大学附属第二医院急诊科,福建泉州362241

出　　处：《糖尿病新世界》2023年第7期148-151,156,共5页Diabetes New World Magazine

摘　　要：目的研究综合急救护理抢救在糖尿病高渗性昏迷患者中的应用效果。方法选择福建医科大学附属第二医院2020年7月—2021年9月间收治的60例糖尿病高渗性昏迷患者作为研究对象,采用随机分组的方式将其分为观察组和对照组,各30例,其中对照组行常规急救护理,观察组给予综合急救护理,对比两种方法的应用效果。结果在经过抢救后,观察组的血清渗透压、血钠、血糖均低于对照组,差异有统计学意义(P<0.05);观察组的抢救成功率高于对照组,差异无统计学意义(P>0.05);观察组的各项生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组的空腹血糖、血清渗透压恢复时间以及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组的血钾、尿素氮水平低于对照组,差异有统计学意义(P<0.05),差异具有统计学意义。结论对糖尿病高渗昏迷患者行综合急救护理能够改善其临床指标,促进血糖、血清渗透压的恢复,缩短住院时间,减少病死率,提高患者的生活质量。Objective To study the application effect of comprehensive emergency nursing in diabetic hyperosmolar coma patients.Methods 60 patients with diabetic hyperosmolar coma admitted to the Second Affiliated Hospital of Fujian Medical University between July 2020 and September 2021 were selected as the research objects.They were randomly divided into observation group and control group,30 cases in each group.The control group received routine emergency care,and the observation group received comprehensive emergency care.The application effects of the two methods were compared.Results After rescue,the serum osmotic pressure,serum sodium and blood glucose of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The rescue success rate of the observation group was higher than that of the control group,and the difference was not statistically significant(P>0.05).The quality of life scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05);the fasting blood glucose,serum osmotic pressure recovery time and hospitalization time of the observation group were shorter than those of the control group,and the difference was statistically significant(P<0.05).The serum potassium and blood urea nitrogen levels in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with diabetic hyperosmolar coma,comprehensive emergency nursing can improve their clinical indicators,promote the recovery of blood glucose and serum osmotic pressure,shorten the length of hospital stay,reduce mortality,and improve the quality of life of patients.

关 键 词：糖尿病高渗性昏迷 急诊抢救 抢救成功率 

分 类 号：R47[医药卫生—护理学]