护理干预对危重患者强化胰岛素治疗预防低血糖反应的效果观察

目的探讨护理干预对危重患者强化胰岛素治疗预防低血糖反应的效果。方法选择2003年5月-2009年10月在本院重症监护室(intensive care unit,ICU)实施强化胰岛素治疗的382例患者为对照组,选择同期强化胰岛素治疗的490例患者为观察组。对照组采用常规强化胰岛素治疗的护理措施,观察组在此基础上对患者进行护理干预。比较两组患者低血糖反应的发生率。结果观察组低血糖反应的发生率低于对照组(P<0.01)。结论危重患者强化胰岛素治疗过程中,采用综合评估影响血糖的因素,制订个体化的血糖监测频率及调整胰岛素泵注速度,提高护士对低血糖反应的敏感性,可有效预防及降低低血糖反应的发生。

Objective To investigate the anti-hypoglycemia effect of insulin intensive therapy on critically ill patients in ICU.Methods A total of 872 patients,who received insulin intensive therapy in ICU from May 2003 to Obt 2009,were divided into two groups.There were 382 patients in the control group,who received routine nursing care,while there were 490 patients in the study group,who received special nursing care.The hypoglycemia incidences were compared between the two groups.Result The hypoglycemia incidence of the study group was lower than that of the control group（P〈0.01）.Conclusion During the insulin intensive therapy on patients in ICU,it can decrease the hypoglycemia incidence of patients by increasing alertness of nurse to hypoglycemia and by using individualized blood glucose monitoring and insulin injection speed controlling,taking all the comprehensive glucose-related factors into consideration.