重型颅脑损伤并发高血糖的临床特点及护理

The clinical characteristics of severe craniocerebral trauma complicated with hyperglycemia and the nursing care

目的探讨重型颅脑损伤急性期血糖水平与病情及预后的关系,以及高血糖的护理对策。方法对89例重型颅脑损伤急性期患者的空腹血糖水平与格拉斯哥昏迷评分、格拉斯哥预后评分的关系进行回顾性研究,并进行统计学分析。结果颅脑外伤急性期血糖水平显著增高,其与格拉斯哥昏迷评分、格拉斯哥预后评分显著相关(P<0.01)。格拉斯哥昏迷评分越低,血糖含量越高;血糖越高预后越差。结论正确血糖控制和监测,严密观察病情变化,加强营养支持,保持水、电解质平衡,有助于提高生存率。

Objective To probe into the relationship between the blood glucose level of severe craniocerebral trauma at its acute phase and the disease conditions or prognosis, and the nursing strategy of hyperglycemia. Methods We retrospectively studied the relationship between blood glucose level, Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS) among 89 patients with severe craniocerebral trauma using statistical analysis. Results The blood glucose level was negatively correlated with the scores of GCS and GOS (P<0.01): The lower the score by GCS, the higher the glucose level and the worse the prognosis. Conclusion It helps raise the survival rate to right control and monitor the blood glucose level, closely observe the changes of conditions, reinforce nutrition, and keep balanced water-electrolyte.