系统化急诊救治在糖尿病低血糖昏迷患者治疗中的应用效果分析  

Analysis of application effect of systematic emergency treatment on diabetic hypoglycemic coma patients

作　　者：周文辉 郭康文 麦学东 ZHOU Wen-hui;GUO Kang-wen;MAI Xue-dong(Zhongshan Dongsheng Hospital,Zhongshan 528414,China)

机构地区：[1]中山市东升医院,528414

出　　处：《中国现代药物应用》2023年第18期71-74,共4页Chinese Journal of Modern Drug Application

摘　　要：目的分析系统化急诊救治在糖尿病低血糖昏迷患者治疗中的应用效果。方法50例糖尿病低血糖昏迷患者为研究对象,依照入院先后顺序分为研究组与对照组,各25例。对照组开展常规救治,研究组在对照组基础上开展系统化急诊救治。对比两组救治效果及生活质量评分。结果研究组苏醒时间(70.25±10.12)min及治疗总时间(4.02±0.39)h短于对照组的(81.25±9.35)min、(6.48±1.11)h,救治后空腹血糖(5.42±0.21)mmol/L及随访6个月内糖尿病低血糖昏迷复发率4.00%低于对照组的(6.19±0.28)mmol/L、28.00%,差异有统计学意义(P<0.05)。随访6个月后,两组社会职能、认知功能、心理机能、躯体功能评分均高于本组出院前,且研究组社会职能、认知功能、心理机能、躯体功能评分分别为(78.38±5.74)、(80.28±5.15)、(83.29±5.37)、(82.16±6.32)分,显著高于对照组的(69.37±6.38)、(62.37±6.39)、(62.38±6.17)、(62.39±7.34)分,差异有统计学意义(P<0.05)。结论对糖尿病低血糖昏迷患者开展系统化急诊救治处理,临床疗效十分理想,能有效控制患者的病情,降低复发风险,有助于改善患者的生活质量。Objective To analyze the application effect of systematic emergency treatment on diabetic hypoglycemic coma patients.Methods A total of 50 cases of diabetic hypoglycemic coma patients as study subjects were divided into study group and control group according to the order of admission,with 25 cases in each group.The control group received routine emergency treatment,while the study group received systematic emergency treatment on the basis of the control group.The therapeutic effect and quality of life of the two groups were compared.Results The recovery time of(70.25±10.12)min and the total treatment time of(4.02±0.39)h in the study group were shorter than those of(81.25±9.35)min and(6.48±1.11)h in the control group;the fasting blood glucose of(5.42±0.21)mmol/L after treatment and the recurrence rate of diabetic hypoglycemic coma of 4.00% within 6 months of follow-up in the study group were lower than those of(6.19±0.28)mmol/L and 28.00%in the control group;the differences were statistically significant(P<0.05).After 6 months of follow-up,the scores of social function,cognitive function,psychological function and physical function in both groups were higher than those before discharge in this group;the scores of social function,cognitive function,psychological function and physical function in the study group were(78.38±5.74),(80.28±5.15),(83.29±5.37)and(82.16±6.32),points,which was significantly higher than those of(69.37±6.38),(62.37±6.39),(62.38±6.17)and(62.39±7.34)points in the control group;the differences were statistically significant(P<0.05).Conclusion The clinical efficacy of systematic emergency treatment for diabetic hypoglycemic coma patients is very ideal,which can effectively control the patient's condition,reduce the risk of recurrence,and help improve the quality of life of patients.

关 键 词：糖尿病 低血糖昏迷 急诊救治 生活质量 

分 类 号：R587.2[医药卫生—内分泌]