《2022 ISPAD临床实践共识指南:糖尿病酮症酸中毒和高血糖高渗状态》护理要点解读  

Interpretation of Nursing Considerations in ISPAD Clinical Practice Consensus Guidelines 2022:Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State

作　　者：宋希[1] 曹素英[1] 王国英[1] 杨巾夏 SONG Xi;CAO Suying;WANG Guoying;YANG Jinxia(Children's Hospital of Soochow University,Suzhou,Jiangsu 215025)

机构地区：[1]苏州大学附属儿童医院,江苏苏州215025

出　　处：《上海护理》2025年第4期1-4,共4页Shanghai Nursing

基　　金：姑苏卫生人才科研项目(GSWS2023049)。

摘　　要：糖尿病酮症酸中毒(DKA)和高血糖高渗状态(HHS)是导致糖尿病患者入院的最常见和最具挑战性的并发症,常会危及患者生命。为了规范儿童和青少年糖尿病患者的并发症管理、改善患儿临床结局,2022年10月,国际儿童青少年糖尿病协会(ISPAD)发布了《2022 ISPAD临床实践共识指南:糖尿病酮症酸中毒和高血糖高渗状态》。指南内容主要涉及DKA和HHS的定义、病理生理、生化监测、治疗、并发症、预防以及管理等内容。本文针对该指南较2018版指南的更新内容及护理相关要点进行解读,以期为儿童和青少年糖尿病急性并发症的急救处理和护理实践提供参考。Diabetic ketoacidosis(DKA)and hyperglycemic hyperosmolar state(HHS)are the most common and challenging complications leading to hospitalization of diabetic patients,often endangering their lives.To standardize the management of complications in children and adolescents with diabetes and improve their clinical outcomes,the International Society for Pediatric and Adolescent Diabetes(ISPAD)released the ISPAD Clinical Practice Consensus Guidelines 2022:Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State in October 2022.The Guidelines address definitions,pathophysiology,biochemical monitoring,treatment,complications,prevention and management of DKA and HHS.This article interprets updates from the 2018 edition and nursing considerations in the current edition,aiming to provide a reference for emergency treatment and nursing practice of acute complications in children and adolescents with diabetes.

关 键 词：糖尿病 儿童 青少年 糖尿病酮症酸中毒 高血糖高渗状态 国际儿童青少年糖尿病协会 指南 解读 

分 类 号：R473.72[医药卫生—护理学] R473.58[医药卫生—临床医学]