乙肝相关慢加急性肝衰竭血糖综合护理干预防治肝源性低血糖的研究  

Study on the prevention and treatment of hepatogenic hypoglycemia by the comprehensive nursing intervention of blood glucose in hepatitis B virus-acute-on-chronic liver failure

作　　者：刘楚霞[1] 许永华[1] 陈志华 李洁蓉[1] LIU Chuxia;XU Yonghua;CHEN Zhihua;LI Jierong(Department of Hepatology and Infectious Diseases,the Second Affiliated Hospital of Shantou University Medical College,Guangdong,Shantou 515041,China)

机构地区：[1]汕头大学医学院第二附属医院肝病感染科,广东汕头515041

出　　处：《中国医药科学》2023年第15期107-110,共4页China Medicine And Pharmacy

基　　金：广东省汕头市科技计划医疗卫生类别项目(220518106490479)。

摘　　要：目的探讨乙肝相关慢加急性肝衰竭(HBV-ACLF)血糖综合护理干预对防治HBV-ACLF患者低血糖发生率的影响。方法回顾性收集汕头大学医学院第二附属医院肝病感染科2015年8月25日至2019年5月16日的住院患者数据。入组HBV-ACLF患者共68例,根据是否予重症肝炎血糖综合护理措施分为观察组36例及对照组32例。对照组给予HBV-ACLF综合治疗及传统护理,观察组则在给予标准综合治疗的情况下给予重症肝炎血糖综合护理干预,比较整个治疗过程中两组患者发生低血糖的情况、患者住院天数、TBIL、PT、ALB。结果观察组患者未发生低血糖例数高于对照组(P<0.05),血糖有改善。结论实施有效的针对性HBV-ACLF血糖综合护理,能有效降低患者低血糖的发生率。Objective To explore the effect of the comprehensive nursing intervention of blood glucose for hepatitis B virus-acute-on-chronic liver failure(HBV-ACLF)on the prevention and treatment of hypoglycemia incidence in patients with HBV-ACLF.Methods Retrospective collection of inpatient numbers from the Department of Hepatology and Infectious Diseases,the Second Affiliated Hospital of Shantou University Medical College from August 25,2015 to May 16,2019 were performed.A total of 68 patients with HBV-ACLF were enrolled and divided into an observation group of 36 cases and a control group of 32 cases based on whether comprehensive nursing of blood glucose for severe hepatitis was taken.The control group received comprehensive treatment and traditional care for HBV-ACLF,while the observation group received the comprehensive nursing intervention of blood glucose for severe hepatitis under standard comprehensive treatment.The incidence of hypoglycemia during the entire treatment process,days of hospitalization of patients,TBIL,PT,ALB,was compared between the two groups of patients.Results The number of patients in the observation group who did not experience hypoglycemia was higher than that in the control group(P<0.05),indicating an improvement in blood glucose.Conclusion Implementation of effective targeted comprehensive nursing of blood glucose for HBV-ACLF can effectively reduce the incidence of hypoglycemia in patients.

关 键 词：乙肝相关慢加急性肝衰竭 低血糖 血糖综合护理 肝源性低血糖 

分 类 号：R47[医药卫生—护理学]