中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
12期
106-107
,共2页
强化%胰岛素%控制血糖%重度颅脑外伤
彊化%胰島素%控製血糖%重度顱腦外傷
강화%이도소%공제혈당%중도로뇌외상
Strengthen%Insulin%Control of blood sugar%Severe brain injury
目的：讨论在重度颅脑外伤患者治疗中，应用强化胰岛素控制血糖，对治疗和预后的意义。方法：选择80例重度颅脑外伤患者（排除患有原发糖尿病或其它影响糖代谢疾病的患者），分为强化控制组和正常控制组，各40例；其它治疗方法相同，强化控制组加大胰岛素浓度，控制血糖值在4.5～6.5mmol/L，正常控制组胰岛素用量正常，血糖值控制在8.5～11.0mmol/L，比较两组的疗效和预后。结果：强化控制组与正常控制组相比，治疗的总有效率更高，并发感染率和死亡率更低，P<0.05，有统计学意义。强化控制组平均呼吸机使用天数、抗生素类药物使用天数和住院天数比正常控制组少，P<0.05，有统计学意义。两组低血糖发生率无明显差异，P>0.05，无统计学意义。结论：在重度颅脑外伤患者的救治过程中，积极控制血糖，对改善患者的病情，减少感染，降低死亡率和提高疗效上，有积极的意义，值得临床学习推广。
目的：討論在重度顱腦外傷患者治療中，應用彊化胰島素控製血糖，對治療和預後的意義。方法：選擇80例重度顱腦外傷患者（排除患有原髮糖尿病或其它影響糖代謝疾病的患者），分為彊化控製組和正常控製組，各40例；其它治療方法相同，彊化控製組加大胰島素濃度，控製血糖值在4.5～6.5mmol/L，正常控製組胰島素用量正常，血糖值控製在8.5～11.0mmol/L，比較兩組的療效和預後。結果：彊化控製組與正常控製組相比，治療的總有效率更高，併髮感染率和死亡率更低，P<0.05，有統計學意義。彊化控製組平均呼吸機使用天數、抗生素類藥物使用天數和住院天數比正常控製組少，P<0.05，有統計學意義。兩組低血糖髮生率無明顯差異，P>0.05，無統計學意義。結論：在重度顱腦外傷患者的救治過程中，積極控製血糖，對改善患者的病情，減少感染，降低死亡率和提高療效上，有積極的意義，值得臨床學習推廣。
목적：토론재중도로뇌외상환자치료중，응용강화이도소공제혈당，대치료화예후적의의。방법：선택80례중도로뇌외상환자（배제환유원발당뇨병혹기타영향당대사질병적환자），분위강화공제조화정상공제조，각40례；기타치료방법상동，강화공제조가대이도소농도，공제혈당치재4.5～6.5mmol/L，정상공제조이도소용량정상，혈당치공제재8.5～11.0mmol/L，비교량조적료효화예후。결과：강화공제조여정상공제조상비，치료적총유효솔경고，병발감염솔화사망솔경저，P<0.05，유통계학의의。강화공제조평균호흡궤사용천수、항생소류약물사용천수화주원천수비정상공제조소，P<0.05，유통계학의의。량조저혈당발생솔무명현차이，P>0.05，무통계학의의。결론：재중도로뇌외상환자적구치과정중，적겁공제혈당，대개선환자적병정，감소감염，강저사망솔화제고료효상，유적겁적의의，치득림상학습추엄。
Objective: To investigate the significance of treatment and prognosis in treating severe brain injury with intensive insulin for control the blood sugar. Methods:80 patients with severe brain injury were divided into the strengthen control group and the normal control group, 40 for each group. The strengthen control group increased insulin to control blood sugar value in 4.5-6.5mmol/L. The normal control group was given normal amount of insulin, blood sugar control in the 8.5-11.0mmol/L. The efficacy and prognosis were compared between the two groups. Results: The total efficiency of the treatment was higher in the strengthen control group, concurrent infection rate and mortality rate were lower than the normal control group, P<0.05, the differentce was statistically significant. The average days of respirator application and antibiotic application were less than the normal control group, P<0.05, the differentce was statistically significant. With both groups the incidence of hypoglycemia was no significant difference, P>0.05, not statistically significant. Conclusion:Actively control the severe brain injury patients' blood sugar could improve the condition and efficacy of the patients, has positive significance, worthy of a wide clinical application.
