糖尿病酮症酸中毒的急诊急救方法应用效果

Application Effect of Emergency First Aid Methods for Diabetic Ketoacidosis

目的评估糖尿病酮症酸中毒中采用急诊急救治疗的价值。方法选取2022年10月—2023年10月滕州市中心人民医院急诊内科收治的76例糖尿病酮症酸中毒患者为研究对象,按照不同的治疗方法分为对照组(38例,常规治疗)与观察组(38例,急诊急救治疗),比较两组血糖指标(空腹血糖、餐后2 h血糖、糖化血红蛋白)、并发症发生率(低血钾、低血糖、脑水肿以及急性肾损伤)、酸中毒纠正时间和尿酮体转阴时间。结果治疗后,观察组血糖水平均低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组酸中毒纠正时间和尿酮体转阴时间均短于对照组,差异有统计学意义(P均<0.05)。结论糖尿病酮症酸中毒中采用急诊急救治疗可以有效控制血糖,降低并发症发生率。

Objective To evaluate the value of emergency first aid treatment in diabetic ketoacidosis.Methods A to⁃tal of 76 patients with diabetic ketoacidosis admitted to the Department of Emergency Medicine of Tengzhou Central People's Hospital from October 2022 to October 2023 were selected as the research objects.According to different treatment methods,they were divided into control group(38 cases,conventional treatment)and observation group(38 cases,emergency first aid treatment).The blood glucose index(fasting blood glucose,2-hour postprandial blood glu⁃cose,glycated hemoglobin A1c),complication rate(hypokalemia,hypoglycemia,brain edema and acute kidney injury),acidosis correction time and urine ketone body negative time were compared between the two groups.Results After treatment,the blood glucose levels of the observation group were lower than those of the control group,and the differ⁃ences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The acidosis correction time and urine ketone body negative time in the observation group were shorter than those in the control group,and the dif⁃ferences were statistically significant(both P<0.05).Conclusion Emergency first aid treatment in diabetic ketoacido⁃sis can effectively control blood glucose and reduce the incidence of complications.