急性脑卒中合并高渗性非酮症糖尿病昏迷急诊治疗效果分析  

Analysis of the Effect of Emergency Treatment in Acute Stroke Complicated with Hyperosmolar Nonketotic Diabetic Coma

作　　者：颜玉 YAN Yu(Medical Department of Sishui County People's Hospital,Sishui 273200,China)

机构地区：[1]泗水县人民医院医务科,山东泗水273200

出　　处：《中华灾害救援医学》2024年第1期23-25,44,共4页Chinese Journal of Disaster Medicine

摘　　要：目的本研究旨在分析急诊治疗对于急性脑卒中合并高渗性非酮症糖尿病昏迷患者的效果.方法选取泗水县人民医院在急诊科治疗的2020年10月至2021年10月收治的73例急性脑卒中合并高渗性非酮症糖尿病昏迷患者作为研究对象.统计所有患者的主要发病因素,记录治疗前后的神志恢复情况,病灶面积、肌力,以及血糖、血钾、血钠、尿素氮、血浆胶体渗透压等指标.然后统计休克纠正时间、苏醒时间、渗透压恢复时间以及并发症情况.结果在73例患者中,呼吸系统感染是主要发病原因占45.20%,其次是尿路感染占34.25%,消化系统炎症占10.96%,其他原因占9.59%.经急诊治疗后,患者的神志评分、肌力评分明显提升,病灶面积明显减小,差异具有统计学意义(P<0.05).治疗后的血糖、血钠、尿素氮、血浆胶体渗透压均降低,而血浆增加,差异具有统计学意义(P<0.05).休克纠正时间、苏醒时间、渗透压恢复时间均较短,共有19例患者出现并发症,发生率为26.03%.结论急诊治疗有助于改善各项指标,缓解病情,降低并发症风险,具有临床推广价值.Objective This study was to analyze the effect of emergency treatment on patients with acute stroke complicated with hyperosmolar non-ketotic diabetic coma.Methods 73 patients with acute stroke combined with hyperosmolar non-ketotic diabetic coma admitted to the emergency department of our hospital from October 2020 to October 2021 were selected as the study subjects,all of whom received emergency treatment.The main pathogenic factors of all patients were counted,and the recovery of consciousness,lesion area,muscle strength,blood glucose,blood potassium,blood sodium,urea nitrogen,plasma colloid osmotic pressure and other indexes were recorded before and after treatment.In addition,the time to correct shock,time to wake up,time to recover osmotic pressure,and complications were also counted.Results In the 73 cases,respiratory system infection was the main cause accounted for 45.20%,urinary tract infection was the second cause accounted for 34.25%,digestive system inflammation accounted for 10.96%,and other reasons accounted for 9.59%.After emergency treatment,the patients'consciousness score and muscle strength score were significantly improved,and the lesion area was significantly reduced,with statistical significance(P<0. 05).After treatment,blood glucose,blood sodium,urea nitrogen,and plasma colloid osmotic pressure decreased,while plasma increased,and the difference was statistically significant(P<0. 05 ).The time to correct shock,the time to wake up,and the time to recover osmotic pressure were all shortened.The complication occurred in 19 patients(26.03%).Conclusion Emergency treatment is helpful to improve the indicators,alleviate the condition,reduce the risk of complications,and has clinical promotion value.

关 键 词：糖尿病 昏迷 急诊 

分 类 号：R473.6[医药卫生—护理学]