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胰岛素泵治疗糖尿病酮症酸中毒的观察及护理
引用本文:覃美亚,张岚,潘兴时,蒋丽珍. 胰岛素泵治疗糖尿病酮症酸中毒的观察及护理[J]. 航空航天医药, 2012, 6(6): 692-693
作者姓名:覃美亚  张岚  潘兴时  蒋丽珍
作者单位:1. 广州市番禺区化龙医院,广州,511434
2. 广州市海珠区第一人民医院,广州,510220
基金项目:广州市番禺区科技计划项目
摘    要:
目的:探讨胰岛素泵治疗糖尿病酮症酸中毒(DKA)的临床效果及护理措施.方法:将76例DKA患者随机分为胰岛素泵(CSII)组和对照组,每组38例.分别采用CSII和连续静脉输注胰岛素治疗,对患者进行观察及护理干预.结果:两组血糖达标时间、尿酮转阴时间、每日胰岛素用量及低血糖发生率比较均有极显著性差异(P<0.01),CSII组优于对照组.结论:对DKA患者采用胰岛素泵治疗并进行综合护理,能更有效地控制高血糖,减少低血糖发生.

关 键 词:糖尿病酮症酸中毒  胰岛素泵  护理

Observation and Nursing on Insulin Pump Therapy for Diabetic Ketoacidosis
Affiliation:QIN Meiya,ZHANG Lan,PAN Xingshi,et al.(Hualong Hospital of Panyu District in Guangzhou,Guangzhou 511434,China)
Abstract:
Objective:To explore the clinical effects and nursing of insulin pump therapy for diabetic ketoacidosis(DKA).Methods:76 patients with DKA were randomly divided into continuous subcutaneous insulin infusion(CSII) group(n=38) and control group(n=38),received treatment of insulin pump therapy and continuous venous infusion of insulin respectively.Both groups were observed and nursed.Results:Compared with control group,the CSII group had shorter therapeutic time,less dosage of insulin daily,shorter time for ketonuria to clear and fewer incidence of hypoglycemia(all P0.01).Conclusions:Combined insulin pump therapy with comprehensive nursing for DKA patients can effectively control hyperglycemia and decrease incidence of hypoglycemia.
Keywords:Diabetic ketoacidosis  Insulin pump  Nursing
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