重型颅脑损伤并发应急性高血糖预防及护理

Prevention and Nursing Care of Patients with Severe Craniocerebral Injury Emergency Hyperglycemia

目的分析探讨糖尿病专项护理在重型颅脑损伤并发应急性高血糖预防及护理中的临床意义。方法选取该科2013年2月—2015年4月收治的120例重型颅脑损伤并发应急性高血糖患者,采用随机数字表法分为两组,实验组予以糖尿病专项护理,对照组予以常规护理方法,观察记录两组患者血糖控制水平、病情恢复情况及患者满意度。结果实验组血糖正常恢复率73.34%高于对照组53.34%,P〈0.05;两组病情恢复情况,实验组并发症发生率23.33%、死亡率20%分别低于对照组的43.33%、41.67%,实验组患者满意度88.33%高于对照组71.67%,两组数据比较差异有统计学意义（P〈0.05）。结论糖尿病专项护理对于重型颅脑损伤应急性高血糖患者,能有效降低并发症及死亡率、有利于病情恢复,提高患者满意度,有积极的临床意义。

Objective To investigate the clinical significance of diabetes care in special nursing and prevention of severe craniocerebral injury complicated with hyperglycemia in emergency. Methods Division in February 2013 to 2015 years 4months from 120 cases of severe craniocerebral injury complicated with emergency hyperglycemia patients were randomly divided into two groups, experimental group to be diabetic special care, patients in control group were given routine nursing care, observation records of two groups of patients with blood glucose control level, the recovery of the disease and patient satisfaction. Results Iin the experimental group, the blood glucose returned to normal rate of 73.34% higher than that of the control group 53.34%, P < 0.05). The recovery of two groups of disease, the incidence of complications in the experimental group rate was 23.33%, 20% mortality were lower than the control group of 43.33%, 41.67%, patient satisfaction of the experimental group was 88.33% higher than that of the control group 71.67%, difference between the two groups of data have significant difference(P < 0.05). Conclusion Diabetes special nursing for patients with severe craniocerebral injury emergency hyperglycemia, can effectively reduce the complications and mortality, is conducive to the recovery of the disease,improve patient satisfaction, has positive clinical significance.