动态血糖监测与规范化治疗对危重患者血糖的疗效及院内感染发生率研究

Effect of Dynamic Blood Glucose Monitoring and Standardized Treatment on Blood Glucose and Incidence of Nosocomial Infection in Critically Ill Patients

目的:研究动态血糖监测与规范化治疗对危重患者血糖的效果及院内感染发生率。方法:选取笔者所在医院2019年10月-2020年10月收治的80例血糖异常危重患者作为研究对象,根据患者入院先后顺序,将其分成试验组与对照组,每组40例。对照组应用传统型血糖管理模式,试验组采用动态血糖监测模式联合规范化治疗,对比两组低血糖、高血糖、院内感染情况及血糖控制情况。结果:试验组低血糖7.50%,高血糖5.00%,院内感染2.50%,对照组低血糖30.00%,高血糖20.00%,院内感染22.50%,试验组明显低于对照组,差异有统计学意义(P<0.05);两组血糖最高值及血糖最低值差异无统计学意义(P>0.05),经过规范化治疗后,试验组血糖恢复时间(80.25±30.16)h,明显短于对照组的(98.71±35.28)h,差异有统计学意义(P<0.05)。结论:危重患者在院期间动态监测血糖及规范化治疗效果较好,可明显降低院内感染的发生率,提升总体血糖管理效果,缩短血糖恢复时间,值得在临床上推广应用。

Objective:To study the effect of dynamic blood glucose monitoring and standardized treatment on blood glucose in critically ill patients and the incidence of nosocomial infection.Method:A total of 80 critically ill patients with abnormal blood glucose in our hospital from October 2019 to October 2020 were selected as the research objects,and they were divided into experimental group and control group according to the order of admission,with 40 cases in each group.The control group was treated with traditional blood glucose management mode,and the experimental group was treated with dynamic blood glucose monitoring mode combined with standardized treatment.Hypoglycemia,hyperglycemia,nosocomial infection and blood glucose control were compared between the two groups.Result:Hypoglycemia 7.50%,hyperglycemia 5.00%,nosocomial infection 2.50% in the experimental group,control group hypoglycemia 30.00%,hyperglycemia 20.00%,nosocomial infection 22.50%,the experimental group was significantly lower than the control group,the difference was statistically significant (P<0.05).There was no significant difference in the maximum and minimum blood glucose between the two groups (P>0.05).After standardized treatment,the recovery time of blood glucose in the experimental group was (80.25±30.16) h,which was significantly shorter than (98.71±35.28) h of the control group,the difference was statistically significant (P<0.05).Conclusion:The dynamic monitoring of blood glucose and the planned treatment of critically ill patients in the hospital can significantly reduce the incidence of nosocomial infection,improve the overall blood glucose management effect and shorten the recovery time of blood glucose,which is worthy of clinical application.