慢性重症肝炎患者并发低血糖的护理

Nursing of chronic severe hepatitis patients with hypoglycemia

目的：总结慢性重症肝炎患者并发低血糖的护理方法。方法对5例慢性重症肝炎患者并发低血糖进行护理，包括血糖监测、病情观察、纠正低血糖和安全护理、提供合理的营养支持、调节输液顺序及速度、相关知识宣教、给予心理护理等。结果经治疗和护理后，5位患者血糖3．3～4．9 mmol／L，中位数4．2 mmol／L。其中1例因肝肾衰竭死亡，1例因病情加重放弃治疗，3例病情好转。住院时间42～120 d，中位数88．0 d。结论对慢性重症肝炎患者并发低血糖过程的相关护理，可及时纠正低血糖，避免严重并发症的发生。

Objective To summarize the experience in nursing the patients with chronic severe hepatitis complicated with hypoglycemia. Method Five chronic severe hepatitis patients with hypoglycemia were cared and by monitoring blood glucose, observing the state of disease, correcting low blood sugar and safety control, providing an appropriate nutritional support, arranging the speed of infusion in a proper order and offering related disease knowledge. Results After the treatment, the blood sugar was 3.3～4.9 mmol/L, with a median of 4.2 mmol/L. One patient died of liver and kidney failure, one gave up the treatment because of deterioration and the rest three got better. The hospital stay was 42～120 d with an average of 88.0 d. Conclusion Relevant nursing intervention for the hypoglycemia of chronic severe hepatitis can promptly correct low blood sugar , maintain normal level of blood sugar and avoid serious complications.