不同给药方式治疗ICU糖尿病酮症酸中毒的效果观察及护理

Observation on the Effect of Different Administration Methods in the Treatment of ICU Diabetic Ketoacidosis and Nursing Care

目的探讨不同给药方式治疗ICU糖尿病酮症酸中毒的效果及护理措施。方法将该院2017年8月—2019年8月接收的92例糖尿病酮症酸中毒患者根据随机数字表法分为对照组(给予多次静脉滴注小剂量胰岛素治疗及护理)与治疗组(给予微量输液泵持续泵入胰岛素治疗及护理),各46例,比较两组的治疗效果及不良事件发生情况。结果微量输液泵持续泵入胰岛素治疗及护理后,治疗组的治疗效果相关指标均显著优于对照组(P<0.05);治疗组的不良事件发生率为2.17%,显著低于对照组的17.39%(P<0.05)。结论微量输液泵持续泵入胰岛素治疗可作为ICU糖尿病酮症酸中毒的首选给药方式,安全性及有效性均较高。

Objective To explore the effects of different administration methods in the treatment of ICU diabetic ketoacidosis and nursing measures.Methods The 92 patients with diabetic ketoacidosis received in the hospital from August 2017 to August 2019 were divided into a control group(with multiple intravenous infusions of low-dose insulin therapy and care)and a treatment group(with micro-infusion pump to continuously pump insulin therapy and nursing)according to the random number table method,46 cases in each group,compare the treatment effects and adverse events of the two groups.Results After the micro-infusion pump continues to pump insulin treatment and nursing,the treatment effect related indicators of the treatment group were significantly better than those of the control group(P<0.05);the adverse event rate of the treatment group was 2.17%,which was significantly lower than the control group's 17.39%(P<0.05).Conclusion Micro-infusion pump continuous infusion of insulin therapy can be used as the first choice for ICU diabetic ketoacidosis,with high safety and effectiveness.