期刊文献+

危重患者血糖监测及胰岛素强化治疗研究 被引量:2

下载PDF
导出
摘要 目的探讨危重患者进行血糖监测及胰岛素强化治疗的临床效果和意义。方法将153例危重患者随机分为胰岛素强化治疗组(强化组)和常规治疗组(常规组),通过血糖监测,密切观察治疗效果。结果2组ICU住院时间、肾功能损害、肝功能损害及病死率差异统计学意义(P>0.05);平均清晨血糖胰岛素及发热例数显著下降(P<0.05);低血糖发生例数增多(P<0.05)。结论胰岛素强化治疗可有效降低危重患者血糖,通过血糖监测及时防止低血糖发生。
作者 吴艳
出处 《河北医药》 CAS 2009年第8期954-955,共2页 Hebei Medical Journal
  • 相关文献

参考文献3

二级参考文献27

  • 1Mesotten D, van den Berghe G. Clinical potential of insulin therapy in critically ill patients. Drugs,2003,63:625-636.
  • 2McCowen KC,Malhotra A,Bistrian BR. Stress-induced hyperglycemia. Cdt Care Clin,2001,17:107-124.
  • 3van den Berghe G, Wouters P, Weekers F,et al. Intensive insulin therapy in critically ill patients. N Eng J Med,2001,345:1359-1367.
  • 4Umpierrez GE,Hsaacs SD,Bazargan N,et al. Hyperglycemia: an independent marker of in hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metab,2002,87:978-982.
  • 5Frankenfield DC, Omert LA, Badellino MM,et al. Correlation between measured energy expenditure and clinically obtained variables in trauma and sepsis patients. J Parenter Enteral Nutr, 1994,18:398-403.
  • 6Marik PE,Zaloga GP. Adrenal insufficiency in the critically ill: a new look at an old problem. Chest,2002,122:1784-1796.
  • 7Robinson LE, van Soeren MH. Insulin resistance and hyperglycemia in critical illness: role of insulin in glycemic control. AACN,2004,15:45-62.
  • 8Chan O,Inouye K, Riddell MC,et al. Diabetes and the hopothalamo-pituitary-adrenal(HPA) axis. Minerva Endocrinol,2003,28:87-102.
  • 9Marik PE, Raghavan M. Stress-hyperglycemia, insulin and immunomodulation in sepsis. Intensive Care Med,2004,30:748-756.
  • 10Web S. The role of mediators in sepsis reolution. Advances in sepsis,2002,2:8-14.

共引文献158

同被引文献17

引证文献2

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部