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将60例颅脑损伤后高血糖反应患者分为胰岛素泵治疗组(胰岛素泵连续皮下输注组,即CSII组)和对照组(每日多次注射胰岛素组,即MSII组)各30例,并实施有效护理。比较观察两组患者治疗前后血糖水平、血糖达标时间、胰岛素用量及低血糖发生率。结果CSII组血糖控制效果明显优于MSII组,CSII组能明显缩短血糖达标时间,胰岛素用量及低血糖发生率均少于MSII组。提示应在重型颅脑损伤早期,对高血糖反应患者及早应用胰岛素泵治疗并强化胰岛素泵护理措施。
Sixty patients with post-traumatic brain injury with hyperglycemia were divided into three groups: insulin pump treatment group (insulin pump continuous subcutaneous infusion group, CSII group) and control group (multiple injection daily insulin group, MSII group) And implement effective care. Compare the two groups of patients before and after treatment of blood glucose levels, blood glucose compliance time, insulin dosage and incidence of hypoglycemia. Results The blood glucose control in CSII group was significantly better than that in MSII group. CSII group was able to shorten the time of reaching the standard of glycemic control, the insulin dosage and the incidence of hypoglycemia were less than those in MSII group. It is suggested that in the early stage of severe craniocerebral injury, patients with hyperglycemia should be treated with insulin pump as soon as possible and intensive insulin pump nursing measures should be taken.