糖尿病肾病行CAPD时胰岛素腹腔内给药的应用和护理.pdfVIP

叶映玲 糖尿病肾病行CAPD时胰岛素腹腔内给药的应用和护理 · 1929· 糖尿病肾病行CAPD时胰岛索腹腔内给药的应用和护理 叶映玲，刘红勇，陈小娟 (广东省梅县人民医院肾内科，广东 梅州 514011) [摘 要] 目的：探讨糖尿病肾病行持续性不卧床腹膜透析(CAPD)时应用胰岛素腹腔给药控制血糖的效果及护理方法。 方法：回顾性分析2O例糖尿病终末期肾病患者行CAPD时胰岛素腹腔给药应用及护理体会。结果：随访17例患者情绪稳定、食 欲良好、体重稳定、体力恢复，并发症减少或消失，血糖控制理想。没有发生腹膜炎、低血糖和酮症酸中毒的病例；3例失随访。结 论：胰岛素腹腔给药是糖尿病肾病行CAPD时控制血糖的较好途径，注意根据个体化血糖调节胰岛素剂量，保证胰岛素剂量准确 和药物效果，其中腹腔内给药时无菌操作是关键。 [关键词] 糖尿病肾病；胰岛素腹腔内给药；护理 中图分类号：R473．5 文献标识码：A 文章编号：1004—0412(2007)18—1929—02 Nursing care of intraperitoneal administration of insulin in diabetic nephrop- athy patients underwent CAPD YE Ying—ling， U Hong—yong，CHEN Xiao一丘ⅡH(Department of Urology，Meixian People~Hospital，Meizhou 514011，China) Abstract：Objective To discuss the effect and numing method of intraperitoneal administration of insulin to control blood glucose in diabetic nephropathy patients underwent continuous ambulatory peritoneal dialysis(CAPD)．Method Intmperitoneal administration of in。 sulin and the nursing care experience in 20 cases of diabetic end——stage renal disease using CAPD were analyzed retrospectively．Results During the period of fl0Ⅱow—up，17 patients with stable psychology，good appetite，stabe weight，physical rehabilitation，decreased or dis‘ appeared chronic complications，and satisfactory controlled glucose．None patients had peritonitis，hypoglycemia or ketoacidosis，and 3 ca‘ ses were missed．Conclusion Intraperitoneal administration of insulin is the better way to control blood glucose in diabetic Bephmpathy pa- tients using CAPD．We should pay attention of individual glucose regulation with different insulin doses，and ensure accuracy and effective- ness of insulin dose．The keypoint is the aseptic processing during administration． Key Words：Diabetic nephropathy；Intraperitoneal administration of insulin；Nursing 在我国引起终末期肾病的原发病中，糖尿病肾病所占的 双联系统及膜透液进行 PD，术后5—7d行间歇性腹膜透析 比例逐年升高。腹膜透析(PD)因其不增加心脏负担及应激