实时动态血糖监测系统在重度颅脑损伤患者护理监测中的应用.docVIP

精品论文 参考文献 实时动态血糖监测系统在重度颅脑损伤患者护理监测中的应用 黑龙江省医院 黑龙江哈尔滨 150036 摘要：目的：探讨实时动态血糖监测系统在重度颅脑损伤患者护理监测中的应用。方法：将2013年12月~2014年12月在我院入院治疗的40例重度颅脑损伤患者纳入到本研究中，按照随机分组方式将40例患者分成监测组（n=20）与对照组（n=20）。对于对照组患者，在入院之后，使用常规末梢快速法来监测患者血糖变化情况，对于监测组患者，在入院后第一时间佩戴CGMS，对患者的血糖变化情况进行动态性监测。结果：在治疗前，两组FPG、2HPG与APACHE评分无显著差异，治疗7h后，监测组FPG、2HPG与APACHE评分显著优于对照组，上述数据组间比较差异显著（p＜0.05），差异有统计学意义。在30d的治疗过程中，监测组1例出现低血糖，死亡2例，对照组6例出现低血糖，死亡5例，监测组低血糖发生率与死亡率也低于对照组，上述数据组间比较差异显著（p＜0.05），差异有统计学意义。结论：对于重度颅脑损伤患者，进行持续性的血糖监测有着非常重要的意义，这种动态性的监测方式值得在临床中推广和使用。 关键词：动态血糖监测；重度颅脑损伤；护理监测；应用 【Abstract】Objective：To investigate the application of real-time dynamic blood glucose monitoring system in patients with severe craniocerebral injury.Methods：40 patients with severe craniocerebral injury who were hospitalized in our hospital from December 2013 to December，were included in this study.The patients were divided into 40 groups（n=20）and control group（n=20）according to the random grouping method.For the control group，after the hospital，the use of conventional terminal rapid method to monitor the patients blood glucose changes，for the monitoring group，the first time after admission to wear CGMS，the change of blood glucose in patients with dynamic monitoring.Results：before treatment，there was no significant difference between the two groups FPG，2HPG and APACHE score，after treatment FPG，7h，2HPG and APACHE score were significantly better than the control group，the difference was statistically significant（P lt; 0.05），the difference was statistically significant.In the treatment of 30d，1 cases of hypoglycemia，2 cases of death，6 cases of the control group，5 cases of hypoglycemia，the incidence of hypoglycemia and mortality in the control group were lower than the control group，the difference was statistically significant（P lt; 0.05），the difference was statistically significant.Conclusion：for patients with severe craniocerebral injury，continuous glucose monitoring has a very important significance，this dynamic monitoring method is wo