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  

Effect of Systematic Emergency Treatment in the Treatment of Diabetes Mellitus Patients with Hypoglycemic Coma

作　　者：陈景 CHEN Jing(Changle District People's Hospital of Fuzhou,Fuzhou 350200,Fujian,China)

机构地区：[1]福州市长乐区人民医院,福建福州350200

出　　处：《糖尿病新世界》2024年第10期27-29,33,共4页Diabetes New World

摘　　要：目的探讨糖尿病(diabetes mellitus,DM)低血糖昏迷患者治疗中应用系统化急诊救治的效果。方法选取2021年7月—2023年7月福州市长乐区人民医院收治的DM低血糖昏迷患者116例,按照不同治疗方法分成研究组(n=58)与对照组(n=58),对照组采用常规急诊救治,研究组采用系统化急诊救治。比较两组血糖水平(空腹血糖、餐后2 h血糖)、救治时间、苏醒时间、预后情况(急诊期病死率、低血糖复发率、再次昏迷率)。结果治疗后,两组血糖水平均升高,且研究组较对照组更高,差异有统计学意义(P均<0.05)。研究组救治、苏醒时间较对照组更短,差异有统计学意义(P均<0.05)。研究组低血糖复发率、再次昏迷率、均较对照组更低,差异有统计学意义(P均<0.05)。结论系统化急诊救治在治疗DM低血糖昏迷患者中,能够有效控制血糖水平,减少患者救治时间,改善患者预后。Objective To explore the effect of systematic emergency treatment in the treatment of diabetes mellitus(DM)patients with hypoglycemic coma.Methods A total of 116 DM patients with hypoglycemic coma admitted to Changle District People's Hospital of Fuzhou from July 2021 to July 2023 were selected and divided into study group(n=58)and control group(n=58)by different treatment methods.The control group received routine emergency treat-ment,while the study group received systematic emergency treatment.The blood glucose levels(fasting plasma glu-cose,2-hour postprandial plasma glucose),treatment time,recovery time,and prognosis(emergency mortality,hypo-glycemia recurrence rate,re-coma rate)were compared between the two groups.Results After treatment,all blood glu-cose levels in the two groups were increased,and the study group was higher than the control group,and the differ-ences were statistically significant(both P<0.05).The treatment and recovery time of the study group was shorter than that of the control group,and the differences were statistically significant(both P<0.05).The recurrence rate of hypo-glycemia and recurrent coma rate of the study group were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Systematic emergency treatment can effectively control blood sugar levels,reduce treatment time,improve prognosis in the treatment of diabetic hypoglycemic coma patients.

关 键 词：系统化急诊救治 糖尿病 低血糖 昏迷 

分 类 号：R59[医药卫生—内科学]