护理干预在ICU患者应激性高血糖血糖控制中的应用效果

Application effect of nursing intervention on blood glucose control of ICU patients with stress hyperglycemia

目的探讨护理干预在ICU患者应激性高血糖血糖控制中的应用效果。方法将ICU收治的120例ICU应激性高血糖患者随机分为观察组和对照组各60例。对照组给予常规护理,观察组给予强化降糖护理,比较2组的血糖控制情况、胰岛素用量、恢复情况及预后等。结果观察组的胰岛素用量少于对照组,干预后的血糖低于对照组,血糖达标时间短于对照组,低血糖例次少于对照组(P<0.05);观察组的机械通气时间、住ICU时间短于对照组,MODS发生率低于对照组(P<0.05)。结论强化降糖护理能够提高ICU应激性高血糖患者的血糖控制水平,减少胰岛素用量,改善预后。

Objective To investigate the effect of nursing intervention on blood glucose con- trol of ICU patients with stress hyperglycemia. Methods A total of 120 ICU stress hyperglycemia pa- tients were randomly divided into observation group and control group, with 60 cases per group. The control group received routine nursing and the observation group was given intensive glucose control nursing, and blood glucose control, insulin dosage, recovery and prognosis of the two groups were compared. Results The insulin dosage in the observation group was less than that in the control group, the blood glucose after intervention was lower, the blood glucose was less, the time of blood glucose reaching standard was shorter than the control group, and the hypoglycemia was less than that in the control group, the differences were statistically significant （P 〈 0.05 ）. The mechanical venti- lation time and ICU time in the observation group were shorter, the incidence rate of MODS was lower than that in the control group, and the differences were statistically significant （ P 〈 0.05 ）. Conclu- sion Intensive hypoglycemic nursing can improve the level of blood glucose control, reduce the dos- age of insulin, and improve the prognosis of patients with ICU stress hyperglycemia.