糖尿病肾病行CAPD时胰岛素腹腔内给药的应用和护理

Nursing care of intraperitoneal administration of insulin in diabetic nephropathy patients underwent CAPD

目的:探讨糖尿病肾病行持续性不卧床腹膜透析(CAPD)时应用胰岛素腹腔给药控制血糖的效果及护理方法。方法:回顾性分析20例糖尿病终末期肾病患者行CAPD时胰岛素腹腔给药应用及护理体会。结果:随访17例患者情绪稳定、食欲良好、体重稳定、体力恢复,并发症减少或消失,血糖控制理想。没有发生腹膜炎、低血糖和酮症酸中毒的病例;3例失随访。结论:胰岛素腹腔给药是糖尿病肾病行CAPD时控制血糖的较好途径,注意根据个体化血糖调节胰岛素剂量,保证胰岛素剂量准确和药物效果,其中腹腔内给药时无菌操作是关键。

Objective To discuss the effect and nursing method of intraperitoneal administration of insulin to control blood glucose in diabetic nephropathy patients underwent continuous ambulatory peritoneal dialysis （CAPD）. Method Intraperitoneal administration of insulin and the nursing care experience in 20 cases of diabetic end - stage renal disease using CAPD were analyzed retrospectively. Results During the period of followup, 17 patients with stable psychology, good appetite, stabe weight, physical rehabilitation, decreased or disappeared chronic complications, and satisfactory controlled glucose. None patients had peritonitis, hypoglycemia or ketoacidosis, and 3 cases were missed. Conclusion Intraperitoneal administration of insulin is the better way to control blood glucose in diabetic nephropathy patients using CAPD. We should pay attention of individual glucose regulation with different insulin doses, and ensure accuracy and effectiveness of insulin dose. The keypoint is the aseptic processing during administration.