中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
10期
119-120
,共2页
胰岛素%强化治疗%急诊危重
胰島素%彊化治療%急診危重
이도소%강화치료%급진위중
Insulin%Intensive therapy%Emergency
目的：探讨胰岛素强化治疗在急诊危重患者中的应用价值。方法选取199 ICU急诊危重患者为研究对象,根据患者意愿分成胰岛素强化1组(A1组,n=52)、胰岛素强化2组(A2组,n=50)、对照例组(B组,n=97)三组。比对三组患者院内感染、死亡及低血糖等发生情况,记录其ICU治疗时间、机械通气时间、抗生素使用时间、静注胰岛素时间等指标差异。结果①A1、A2组目标血糖达标时间、机械通气时间、静脉泵注胰岛素时间、抗生素使用天数及ICU治疗时间等均明显短于B组(<0.05)；A1组除了目标血糖达标时间短于A2组外(<0.05),其余指标均同其无明显差异(>0.05)；②在为期3个月的随访中,A1、A2组院内感染率及死亡率均低于B组,低血糖发生率则高于B组,对比差异具有统计学意义(<0.05)；A1组除低血糖发生率高于A2组外(<0.05),其余指标对比无明显差异(>0.05)。结论对急诊危重患者予以胰岛素加强治疗,疗效确切,值得临床推广。
目的：探討胰島素彊化治療在急診危重患者中的應用價值。方法選取199 ICU急診危重患者為研究對象,根據患者意願分成胰島素彊化1組(A1組,n=52)、胰島素彊化2組(A2組,n=50)、對照例組(B組,n=97)三組。比對三組患者院內感染、死亡及低血糖等髮生情況,記錄其ICU治療時間、機械通氣時間、抗生素使用時間、靜註胰島素時間等指標差異。結果①A1、A2組目標血糖達標時間、機械通氣時間、靜脈泵註胰島素時間、抗生素使用天數及ICU治療時間等均明顯短于B組(<0.05)；A1組除瞭目標血糖達標時間短于A2組外(<0.05),其餘指標均同其無明顯差異(>0.05)；②在為期3箇月的隨訪中,A1、A2組院內感染率及死亡率均低于B組,低血糖髮生率則高于B組,對比差異具有統計學意義(<0.05)；A1組除低血糖髮生率高于A2組外(<0.05),其餘指標對比無明顯差異(>0.05)。結論對急診危重患者予以胰島素加彊治療,療效確切,值得臨床推廣。
목적：탐토이도소강화치료재급진위중환자중적응용개치。방법선취199 ICU급진위중환자위연구대상,근거환자의원분성이도소강화1조(A1조,n=52)、이도소강화2조(A2조,n=50)、대조례조(B조,n=97)삼조。비대삼조환자원내감염、사망급저혈당등발생정황,기록기ICU치료시간、궤계통기시간、항생소사용시간、정주이도소시간등지표차이。결과①A1、A2조목표혈당체표시간、궤계통기시간、정맥빙주이도소시간、항생소사용천수급ICU치료시간등균명현단우B조(<0.05)；A1조제료목표혈당체표시간단우A2조외(<0.05),기여지표균동기무명현차이(>0.05)；②재위기3개월적수방중,A1、A2조원내감염솔급사망솔균저우B조,저혈당발생솔칙고우B조,대비차이구유통계학의의(<0.05)；A1조제저혈당발생솔고우A2조외(<0.05),기여지표대비무명현차이(>0.05)。결론대급진위중환자여이이도소가강치료,료효학절,치득림상추엄。
Objective To explore the application value of intensive insulin therapy on critical patients in emergency department. Methods Selected 199 ICU emergency critically ill patients as the research object, according to the order of admission were divided into intensive insulin group (group A, n=102) and control group (group B, n=97). compared occurrence ratio of nosocomial infection, death and hypoglycemia of two groups, recorded the ICU treatment time, mechanical ventilation time, duration of antibiotic use, static time difference insulin index. Results Target blood glucose time, mechanical ventilation time, intravenous infusion of insulin, antibiotic use days time and duration of ICU treatment of group A were significantly shorter than group B ( <0.05);in the period of follow-up 3 months, the hospital infection rate and mortality rate of group A were 8.8%and 7.9%, were lower than that in group B 19.6%and 25.8%, differences were significant ( <0.05);the incidence of hypoglycemia of group B was 5.2%,was less than group A of 17.6%( <0.05). Conclusion The emergency critically ill patients with insulin strengthen treatment, the curative effect is accurate, is worth the clinical promotion.
