糖尿病酮症酸中毒急诊救治方法的临床分析
Clinical Analysis of Emergency Treatment of Diabetes Ketoacidosis
吴坤亭 1林智化2
作者信息
- 1. 361100 福建厦门,厦门市同安区中医医院内科
- 2. 361100 福建厦门,厦门市第三医院内分泌科
- 折叠
摘要
目的 探讨糖尿病酮症酸中毒(DKA)的急诊救治方法和效果.方法 选取2021年8月至2023年8月在厦门市同安区中医医院就诊的68例糖尿病酮症酸中毒患者,根据救治方式不同划分患者为对照组(n=34)和观察组(n=34).对照组实施常规处理联合胰岛素静脉滴注救治,观察组在对照组治疗基础上加用胰岛素1次冲击疗法救治.结果 急诊救治后,观察组患者的各项指标下降更为显著,差异有统计学意义(P＜0.05).观察组治疗有效率为97.06％,高于对照组(73.53％),差异有统计学意义(P＜0.05),观察组血酮和尿酮转阴时间、血糖达标时间均短于对照组,差异有统计学意义(P＜0.05),观察组并发症占比为2.94％,低于对照组(14.71％),差异有统计学意义(P＜0.05).结论 在常规救治基础上加用胰岛素1次冲击疗法可有效纠正糖尿病酮症酸中毒,能在更短时间内使血糖达标,血酮、尿酮转阴,患者并发症更少.
Abstract
Objective To explore the emergency treatment method and effect of diabetes ketoacidosis(D-KA).Methods From August 2021 to August 2023,68 patients with diabetes ketoacidosis were selected from Tong'an District Hospital of Traditional Chinese Medicine in Xiamen.According to the different treatment meth-ods,the patients were divided into the control group(n=34)and the observation group(n=34).The control group received routine treatment combined with insulin intravenous infusion for treatment,while the observation group received one-time intravenous pulse therapy on the basis of the control group's treatment.Results After emer-gency treatment,the various indicators of the observation group patients decreased more significantly than those of the control group,and the difference had statistical value(P＜0.05).The effective rate of treatment in the observation group was 97.06％,which was higher than that in the control group(73.53％),and the difference was statistically sig-nificant(P＜0.05).The time for blood ketone and urine ketone to turn negative and blood glucose to reach the stand-ard in the observation group was shorter than that in the control group,and the difference was statistically significant(P＜0.05).The proportion of complications in the observation group was 2.94％,lower than that in the control group(14.71％),and the difference was statistically significant(P＜0.05).Conclusion Emergency treatment can effec-tively treat diabetes ketoacidosis,can make blood sugar reach the standard,and can make blood ketone and urine ke-tone turn negative in a short time,with fewer complications.
关键词
糖尿病酮症酸中毒/胰岛素/酮体类Key words
diabetic ketoacidosis/insulin/ketone bodies引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据