危急值预警结合分阶段护理在糖尿病酮症酸中毒患者中的应用  

Application of early warning of critical values combined with phased nursing in patients with diabetic ketoacidosis

作　　者：高蒙 陈可 杨苏云 GAO Meng;CHEN Ke;YANG Suyun(Nanjing Drum Tower Hospital Group Suqian Hospital,Suqian,Jiangsu,223800,China)

机构地区：[1]南京鼓楼医院集团宿迁医院,江苏宿迁223800

出　　处：《中西医结合护理(中英文)》2025年第2期29-32,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察危急值预警结合分阶段护理在糖尿病酮症酸中毒(DKA)患者中的应用效果。方法选取2022年3月至2023年4月南京鼓楼医院集团宿迁医院急诊科诊治的96例DKA患者为研究对象,用随机数字表法分为观察组和对照组,各48例。对照组给予常规护理方法,观察组给予危急值预警联合分阶段护理方法。比较2组的血糖水平、酸中毒指标水平、康复时间及并发症发生情况。结果护理后5 d,2组的空腹血糖(FPG)和餐后2 h血糖(2hPG)水平均低于同组护理前和护理后3 d(P均<0.05),pH值、碳酸氢根离子(HCO3-)以及二氧化碳结合力(CO2 CP)水平均高于同组护理前和护理后3 d(P均<0.05);护理后3 d,2组的上述指标水平均优于同组护理前(P均<0.05)。护理后3 d和5 d,观察组的上述指标水平均优于同期对照组(P均<0.05)。观察组的酸中毒纠正时间、酮体转阴时间、住院时间及血糖控制时间均早于或短于对照组(P均<0.05)。观察组在住院期间的并发症总发生率低于对照组(P<0.05)。结论危急值预警结合分阶段护理能够有效降低DKA患者的血糖水平,改善酸中毒指标水平,降低并发症发生率,缩短患者的康复时间。Objective To investigate the application effect of early warning of critical values combined with phased nursing in patients with diabetic ketoacidosis(DKA).Methods Ninety-six patients presenting with DKA in the Department of Emergency of Nanjing Drum Tower Hospital Group Suqian Hospital from March 2022 to April 2023 were selected as the research subjects.They were divided into 2 groups by the use of a random number table:48 patients in the control group received routine nursing methods,and 48 patients in the observation group received early warning of critical values combined with phased nursing.A comparison was conducted between the two groups in regard to blood glucose,acidosis parameters,recovery time,and incidence of complications.Results After 5 days of nursing,the fasting plasma glucose(FPG)and 2-h postprandial glucose(2hPG)levels in both groups were lower than those before nursing and after 3 days of nursing(P<0.05).The pH value,bicarbonate ion(HCO3—),and carbon dioxide combining power(CO2CP)levels were higher than those before nursing and after 3 days of nursing(P<0.05).After 3 days of nursing,the levels of the above parameters in both groups were better than those before nursing(P<0.05).After 3 and 5 days of nursing,the levels of the above parameters in the observation group were better than those in the control group(P<0.05).The time for acidosis correction,time for ketone body turning negative,length of hospital stay,and time for blood glucose control in the observation group were all shorter than those in the control group(P<0.05).The total incidence of complications during hospitalization in the observation group was lower than that in the control group(P<0.05).Conclusion The combination of early warning of critical values and phased nursing can effectively reduce the blood glucose level of DKA patients, improve the level of acidosis parameters, reduce the incidence of complications, and shorten the recovery time.

关 键 词：糖尿病酮症酸中毒 危急值预警 分阶段护理 血糖水平 并发症 

分 类 号：R473.5[医药卫生—护理学]