中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2009年
4期
286-288
,共3页
龙浩%林志潮%王永南%卢汉平%司徒冬荣
龍浩%林誌潮%王永南%盧漢平%司徒鼕榮
룡호%림지조%왕영남%로한평%사도동영
胃肠外营养%胰岛素%输注,静脉内%输注泵
胃腸外營養%胰島素%輸註,靜脈內%輸註泵
위장외영양%이도소%수주,정맥내%수주빙
Parenteral nutrition%Insulin%Infusions,intravenous%Infusion pumps
目的 比较胰岛素加入全合一营养袋内或经静脉泵同步输注时胰岛素活性、浓度以及患者血糖的变化.方法 将2006年4月至8月20例上消化道肿瘤术后无糖尿病的患者随机分为滴注组和静脉泵组.滴注组为胰岛素直接加入全合一营养袋中静脉滴注,静脉泵组为胰岛素加入注射器内泵入.于开始输液、输液至1000 ml、输液至2000 ml和余液100 ml时测量胰岛素活性百分比、浓度以及患者的血糖水平,连续测量3 d.结果 两组胰岛素的活性百分比和浓度均随时间有下降趋势,活性百分比两组间差异无统计学意义(P=0.347).两组间和组内各时点血糖差异无统计学意义(P>0.05).两组患者未发生与血糖水平相关的并发症.结论 胰岛素加入全合一营养袋内或经静脉泵同步输注两种方式对胰岛素活性、患者血糖和与血糖相关并发症的影响无明显差异.胰岛素可安全地加入营养袋内输注.
目的 比較胰島素加入全閤一營養袋內或經靜脈泵同步輸註時胰島素活性、濃度以及患者血糖的變化.方法 將2006年4月至8月20例上消化道腫瘤術後無糖尿病的患者隨機分為滴註組和靜脈泵組.滴註組為胰島素直接加入全閤一營養袋中靜脈滴註,靜脈泵組為胰島素加入註射器內泵入.于開始輸液、輸液至1000 ml、輸液至2000 ml和餘液100 ml時測量胰島素活性百分比、濃度以及患者的血糖水平,連續測量3 d.結果 兩組胰島素的活性百分比和濃度均隨時間有下降趨勢,活性百分比兩組間差異無統計學意義(P=0.347).兩組間和組內各時點血糖差異無統計學意義(P>0.05).兩組患者未髮生與血糖水平相關的併髮癥.結論 胰島素加入全閤一營養袋內或經靜脈泵同步輸註兩種方式對胰島素活性、患者血糖和與血糖相關併髮癥的影響無明顯差異.胰島素可安全地加入營養袋內輸註.
목적 비교이도소가입전합일영양대내혹경정맥빙동보수주시이도소활성、농도이급환자혈당적변화.방법 장2006년4월지8월20례상소화도종류술후무당뇨병적환자수궤분위적주조화정맥빙조.적주조위이도소직접가입전합일영양대중정맥적주,정맥빙조위이도소가입주사기내빙입.우개시수액、수액지1000 ml、수액지2000 ml화여액100 ml시측량이도소활성백분비、농도이급환자적혈당수평,련속측량3 d.결과 량조이도소적활성백분비화농도균수시간유하강추세,활성백분비량조간차이무통계학의의(P=0.347).량조간화조내각시점혈당차이무통계학의의(P>0.05).량조환자미발생여혈당수평상관적병발증.결론 이도소가입전합일영양대내혹경정맥빙동보수주량충방식대이도소활성、환자혈당화여혈당상관병발증적영향무명현차이.이도소가안전지가입영양대내수주.
Objective To compare activation and concentration of insulin,and blood glucose control in patients between insulin added into "all in one" bags and syringes at parenteral nutrition (PN).Methods From April 2006 to August 2006,20 consecutive patients after gastrointestinal operations were recruited and randomized to instillation group and pump group.In instillation group,the insulin was directly added into PN and transfused.In pump group,the insulin was added into syringes and transfused by infusion pump.Activation and concentration of insulin,and blood glucose in patients were measured at beginning infusion,infused 1000 ml,infused 2000 ml,and remained 100 ml daily for the first 3 days after operation.Results There was a tendency of decrease for the activation and concentration of insulin in beth groups with the time.There was no significant difference of activation of insulin between the two groups (P=0.347).There was no significant differences of blood glucoses between the two groups,and between the four time points in each groups (P>0.05).There was no complications association with blood glucoses in the two groups.Conclusions Both of activation and concentration of insulin at PN decreased gradually and slightly with the time no matter the ways of insulin infusion.Activation of insulin and blood glucoses in patients are no significant differences between the two groups.Insulin can be safely added into "all in one" bags at PN.