摘要
目的为探讨整体护理干预对颅脑外伤后高血糖患者治疗转归的影响。方法将11例重型颅脑损伤患者随机分为研究组55例和对照组55例进行试验。对照组在采用小剂量普通胰岛素过程中对血糖进行了动态的监测直至疗程末清晨空腹静脉血糖连续2次正常;研究组同时给予营养支持措施和早期功能锻的综合护理。观察两组患者ADL、意识、吞咽障碍的恢复情况,并对意识恢复者进行改良Barthel指数评定。结果研究发现研究组中意识障碍、吞咽障碍人数较对照组明显减少(P<0.05),各项ADL评分明显改善(P<0.05);ADL总评分为(58.4±18.5)分,(P<0.01)。结论综上所述,重症颅脑损伤后血糖升高患者尽早实施护理干预,能降低病死率,提高救治水平。
ObjectiveTo explore influence of nursing intervention in hyperglycemia after craniocerebral injury.Methods110 cases patients suffered severe hyperglycemia after craniocerebral injury were randomly divided into the study group（n=55） and the control group （n=55）. The control group were given dynamically inspect the twig blood sugar during insulin treatment until the morning blood sugar turn normal continually for twice.and the study group,at the same time, receiving tube feeding and earlier rehabilitation nursing beside the control group care.ResultsThe disturbances of consciousness and swallow function were observed obviously in fewer patients of the study group than the control group（P〈0.05）.In the study group, the scores of ADL were obviously improved（P〈0.05 orP〈0.01）, the total score of ADL was（58.4＆#177;18.5）.ConclusionTo add the nursing intervention as early as we can in hyperglycemia after craniocerebral injury patients, can improve the prognosis of the patients and reduce the death rate.
出处
《中国实用医药》
2014年第13期199-201,共3页
China Practical Medicine
关键词
颅脑外伤
高血糖
护理干预
Skull and brain trauma
Hyperglycemia
Nursing intervention
