急性创伤并发应激性高血糖患者的护理干预

Acute Traumatic Stress Hyperglycemia Occurs in Patients with Nursing Intervention

目的：外科病人在创伤后常伴应激性高血糖，这种急性高血糖会产生一系列病理生理效应。该文在研究不同的血糖水平对疾病并发症及病人预后的影响并探讨外科急性创伤并发应激性高血糖的临床特点与发病机理，建立急性创伤并应激性高血糖患者的护理干预措施，并观察治疗效果。方法择选该院外科2012年6月—2014年6月共收治创伤性高血糖患者40例，对40例急性创伤发生应激性高血糖患者实施有效的护理干预，在治疗过程中严密观察病情，直至患者血糖恢复正常水平，疾病痊愈出院。结果将血糖控制在6．1 mmol/L（110mg/dL）以下能有效地减少高血糖所引起的并发症，促进外科疾病的恢复，改善外科病人的预后。但由于将血糖控制在6．1mmol/l以下较容易出现低血糖症和低血糖反应，研究中发现外科创伤患者，将血糖控制在6.1~8.9 mmol/L范围较为合适。40例患者经过术前血糖的控制及护理干预，顺利进行手术，安全度过围术期，术后2周拆线，术后切口愈合良好，术后均无并发症发生痊愈出院。结论对外科急性创伤发生应激性高血糖患者采取正确有效的护理干预，能够有效控制血糖，从而达到顺利进行手术，降低手术风险，减少并发症的发生机率，有利于患者的康复，并能缩短住院时间，我们的研究经验证对急性创伤并发应激性高血糖患者的治疗及康复有着十分重要的意义，为急性创伤发生应激性高血糖患者围手术期医疗和护理安全提供了有力的支持和保障。

Objective Surgical patients in post-traumatic stress is often accompanied by high blood sugar, which will pro-duce a series of acute hyperglycemia pathophysiological effects. Based on the study of different complications affect blood glucose levels and the prognosis of the disease and to investigate the clinical features of acute trauma and surgical patho-genesis of complicated stress hyperglycemia Acute trauma and care interventions in patients with stress hyperglycemia, and therapeutic effects were observed. Methods By choosing a surgical hospital from June 2012 to June 2014 were treated hy-perglycemia resulted in 40 patients, 40 patients with acute traumatic stress hyperglycemia occurs effective nursing interven-tions for patients, close observation during treatment the disease until the patient returned to normal blood sugar levels, the disease cured. Results Blood glucose control in 6.1mmol/L （110mg/dL） or less effective in reducing complications caused by high blood sugar, promote the recovery of surgical diseases, improve the prognosis of surgical patients. However, due to blood glucose control in 6.1 mmol / l or less are more prone to hypoglycemia and hypoglycemia reaction, the study found that surgical trauma patients, blood glucose control in 6.1-8.9 mmol / L range is more appropriate. 40 patients after preop-erative glycemic control and nursing intervention, smooth operation, security through the perioperative period, after two weeks stitches, incisions healed well, no postoperative complications were discharged. Conclusion The occurrence of surgi-cal acute traumatic stress hyperglycemia patients to take proper care and effective intervention can effectively control blood sugar, so as to achieve smooth operation and reduce the risk of surgery, reduce the incidence of complications, is conducive to the rehabilitation of patients, and can shorter hospital stay, our proven treatment for high blood sugar in patients with a-cute trauma complicated by stress and rehabilitation has a very important significance for the occurrence of acute traumatic stress hyperglycemia and perioperative medical care provides a powerful security support and protection.