神经外科危重患者高血糖的治疗与护理

Treatment and nursing of hyperglycaemia in critically ill patients in Neurosurgery

目的探究神经外科危重患者高血糖的治疗与护理方法。方法选取2014年6月-2015年6月医院神经外科危重高血糖患者94例,随机分为对照组和观察组各47例,对照组采取常规治疗控制血糖,观察组采取综合性胰岛素强化治疗,比较2组临床效果。结果观察组住院时间为(21±3.1)d,显著低于对照组的(26±4.2)d;观察组病死率和感染率分别为10.64%和17.07%,显著低于对照组的23.40%和31.91%,差异均有统计学意义(P<0.05)。结论将神经外科危重患者血糖调控在目标范围内,可显著缩短患者住院时间,降低病死率与感染率,具有重要临床意义。

Objective To explore the Treatment and nursing of hyperglycaemia in critically ill patients in Neurosur-gery. Methods 94 cases of critically ill patients with hyperglycaemia in Neurosurgery were randomly divided into control group and observation group,47 cases in each group. The control group took routine treatment and nursing to control the blood glucose of patients. The observation group to take comprehensive insulin intensive treatment and nursing,compared the clinical effect of the 2 groups. Results The hospitalization time of the observation group was（21± 3. 1）d,which was significantly low-er than that of the control group（26 ± 4. 2）d;The mortality and infection rate of the observation group were 10. 64% and 17. 07% respectively,which were significantly lower than those of the control group（23. 40% ＆amp;31. 91%）,the difference was statistically significant（P〈0. 05）. Conclusion The patient′s blood glucose is controlled within a reasonable range,can sig-nificantly shorten the length of hospital stay,reduce the mortality and infection rate,has important clinical significance.