摘要
目的:总结10例应用奥曲肽治疗的先天性高胰岛素血症患儿的护理经验。方法选取2014年9月~2015年12月在我科住院,应用奥曲肽治疗的先天性高胰岛素血症患儿,定期检测血糖,保证静脉通路通畅,管理患儿饮食,观察应用奥曲肽过程中患儿的反应,并采取相应的护理措施。结果8例(80%)患儿治疗有效,血糖控制良好,另外2例血糖无明显改善,改用其他治疗方式。结论护士应全面了解先天性高胰岛素血症的疾病特点以及药物奥曲肽的适应症及副作用,以便及时准确高效的为患儿提供护理,帮助患儿获得更好的血糖控制。
Objective To summarize the nursing experience of 10 children with congenital hyperinsulinism(CHI)who were treated with octreotide.Methods Selecting CHI patients hospitalized in our department from Sep.2014 to Dec.2015 and treated with octreotide,to measure blood glucose regularly,ensure patency of venous access,manage their diet,and observe their response to octreotide and take appropriate care measures.Results 8/10 cases(80%)were effective and had a good glycemic control,the other two patients had no improved glucose and switch to other forms of treatment.Conclusion Nurses should fully understand the characteristics of CHI,indications and side effects of drug octreotide,so that we could provide children with timely and accurate and efficient care,help children have a better glycemic control.
作者
李凤婷
王锐
LI Feng-ting;WANG Rui(Genetic Endocrinology and Metabolism Department,Beijing Children's Hospital Capital Medical University,Beijing 100045,China)