糖尿病低血糖昏迷患者急诊救治方法与效果评估

Evaluation and Effect of Emergency Patients with Hypoglycemic Coma of Diabetes Treatmentmethod

目的分析糖尿病低血糖昏迷患者的急诊救治方法 ,并对其效果进行评估。方法选自2013年4月—2014年3月,在该院治疗糖尿病低血糖昏迷的42例患者,将其随机分2组,每组各21例。观察组采取常规急诊救治联合系统干预治疗方法 ,对照组采取常规急诊救治方法 ,观察两组的临床病症和生命体征、记录苏醒时间、监测血糖情况、半年内随访统计治愈情况、死亡情况、再次昏迷情况。结果两组昏迷患者经过急诊救治后,均苏醒过来并改善了血糖指标,且两组苏醒时间和血糖情况对比差异无统计学意义(P>0.05);半年内随访观察到观察组治愈率100%高于对照组80.95%,观察组死亡率、再次昏迷次数均低于对照组。两组对比后期治疗效果差异有统计学意义(P<0.05)。结论常规急诊救治联合系统干预方法 ,应用于糖尿病低血糖昏迷患者,能够有效提高治愈率,改善预后。

Objective To analysis the emergency treatment of diabetic patients with hypoglycemic coma method,and to evaluate its effect. Methods Selected from April 2013 to March 2013,42 cases of diabetes hypoglycemic coma patients treated in our hospital,the random in 2 groups, each group（n=21）.Observation group treated with conventional joint system emergency care intervention methods,control group adopts the method of conventional emergency care,observation of two groups of clinical symptoms and signs of life,wake up of time,monitoring the blood sugar,half a year follow-up statistics cured,death,once again coma. Results Two groups of coma patients after emergency treatment,were recovered and improved glycemic index,and the awakening time and blood sugar contrast difference between the two groups（P〉0.05）;Half a year follow-up observed group cure rate 100% higher than the control group 80.95%,mortality,coma again times observation group were lower than the control group.Compared the two groups in the late treatment effect has obvious difference（P〈0.05）.Conclusion The combined conventional emergency care system intervention method,used in diabetic patients with hypoglycemic coma,can improve the cure rate effectively,and improve the prognosis.