摘要
目的探讨糖尿病酮症酸中毒患者的急诊急救方法与效果。方法选择2018年9月—2021年9月该院接收的98例糖尿病酮症酸中毒患者为研究对象,以数字随机表法将其分成两组,每组49例,两组均采用常规急救措施,常规组在常规急救措施基础上应用静脉滴注胰岛素治疗,研究组在常规组基础上联合皮下注射胰岛素治疗,分析两组急诊救治效果。结果治疗后,研究组空腹血糖、餐后2 h血糖及糖化血红蛋白水平低于常规组,差异有统计学意义(P<0.05);研究组酮症酸中毒纠正时间、尿酮体转阴时间、血糖达标时间、平均住院时间短于常规组,差异有统计学意义(P<0.05);研究组低血糖发生率为2.04%,低于常规组(16.33%),差异有统计学意义(P<0.05);研究组患者临床急救治疗有效率为97.96%,高于常规组,差异有统计学意义(P<0.05)。结论糖尿病酮症酸中毒患者的急诊救治措施中除需要常规补液、降血糖、纠正水电解质与酸碱失衡等外,皮下注射胰岛素结合静脉滴注胰岛素治疗后的效果更加显著,能有效缩短住院时间,改善患者血糖指标,减少不良反应。
Objective To investigate the emergency first aid methods and effects of patients with diabetic ketoacidosis.Methods A total of 98 patients with diabetic ketoacidosis received by the hospital from September 2018 to September 2021 were selected as the research subjects,and they were divided into the two groups by means of a random number table,with 49 cases in each group.Both groups were treated with routine first aid measures,the routine group was treated with intravenous insulin on the basis of routine first aid measures,the study group was treated with subcutaneous insulin injection on the basis of the routine group,and the effect of emergency treatment of the two groups was analyzed.Results After treatment,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the study group were lower than those in the routine group,the difference was statistically significant(P<0.05).In the study group,the correction time of ketoacidosis,the time to negative urine ketone body,the time to reach the blood glucose standard,and the average length of hospital stay were shorter than the routine group,the difference was statistically significant(P<0.05).The incidence of hypoglycemia in the study group was 2.04%,which was lower than that in the routine group 16.33%,the difference was statistically significant(P<0.05).The effective rate of clinical emergency treatment in the study group was 97.96%,which was higher than that in the routine group,the difference was statistically significant(P<0.05).Conclusion In the emergency treatment measures for patients with diabetic ketoacidosis,in addition to routine fluid rehydration,hypoglycemia,correction of water-electrolyte and acid-base imbalance,etc.,the effect of subcutaneous insulin injection combined with intravenous infusion of insulin is more significant.It can effectively shorten the length of hospital stay,improve the blood glucose index of patients,and reduce adverse reactions.
作者
李秀芬
LI Xiufen(Department of Emergency Medicine,Beijing Fengtai Hospital,Beijing,100071 China)
出处
《糖尿病新世界》
2022年第12期182-185,共4页
Diabetes New World Magazine
