Experience of Nursing Patients with Severe Acute Pancreatitis Undergoing Intensive Glucose Control_West China Medical Journal

Authors：

TANG Li , LIAO Yan , LONG Lili , ZUO Yanyan

Department of Critical-care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

急性重癥胰腺炎; 血糖控制; 動態血糖監測; 護理

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目的　探討護理行為對重癥急性胰腺炎患者在實時強化血糖控制和治療中的效果與影響。方法　選擇2010年7月－2011年7月15例采用強化血糖控制研究的急性重癥胰腺炎患者，對其實時24 h動態血糖監測的護理方法及要點進行回顧分析。結果　15例患者順利完成強化血糖控制的臨床研究，血糖值達到目標監測范圍（6.1～8.3 mmol/L）的百分比例78.3%，未出現嚴重并發癥。結論　實時動態的血糖監測、嚴格執行的強化血糖控制方案及針對性護理措施可為重癥胰腺炎患者的血糖強化控制提供安全有效的保證。

Citation： TANG Li,LIAO Yan,LONG Lili,ZUO Yanyan. Experience of Nursing Patients with Severe Acute Pancreatitis Undergoing Intensive Glucose Control. West China Medical Journal, 2012, 27(6): 921-923. doi: Copy

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13.	Marik PE, Preiser JC. Toward understanding tight glycemic control in the ICU: a systematic review and metaanalysis[J]. Chest, 2010, 137(3): 544-551.
14.	Arabi YM, Tamim HM, Rishu AH. Hypoglycemia with intensive insulin therapy in critically ill patients: predisposing factors and association with mortality[J]. Crit Care Med, 2009, 37(9): 2536-2544.
15.	劉雪蓮. 臨床護士血糖管理知識調查分析及對策[J]. 中國老年保健醫學, 2010, 8(1): 621.

1. 　Chen L. A literature review of intensive insulin therapy and mortality in critically ill patients[J]. Clin Nurse Spec, 2010, 24(2): 80-86.
2. 　McCowen KC, Malhotra A, Bistrian BR. Stress-induced hyperglycemia[J]. Crit Care Clin, 2001, 17(1): 107-124.
3. 　曹相原, 王曉紅, 馬少林, 等. 應激性高糖血癥與胰島素抵抗的相關因素研究[J]. 中國危重病急救醫學, 2006, 18(12): 751-754．.
4. 　Van den Berghe G, Wilmer A, Hermans G, et al. Intensive insulin therapy in the medical ICU[J]. N Engl J Med, 2006, 354(5): 449-461.
5. 　Van den Berghe G, Wilmer A, Milants I, et al. Intensive insulin therapy in mixed medical/surgical intensive care units: benefit versus harm[J]. Diabetes, 2006, 55(11): 3151-3159.
6. 　Finfer S, Chittock DR, Su SY, et al. Intensive versus conventional glucose control in critically ill patients[J]. N Engl J Med, 2009, 360(13): 1283-1297.
7. 　吳翊.‘‘ 雙 C’’ 方案在難治性糖尿病病人血糖控制中的應用及護理[J]. 護理研究, 2010, 24(6): 1439-1441.
8. 　胡水香. 腦卒中患者強化血糖控制的護理[J]. 護士進修, 2010, 25(15): 1394-1395.
9. 　Mazze RS, Strock E, Wesley D, et al. characterizing glucose exposure for individuals with normal glucose tolerance using continuous glucose monitoring and ambulatory glucose profile analysis[J]. Diabetes Technol Ther, 2008, l0(7): 149-159．.
10. 　錢進, 周立新, 唐雪, 等. 動態血糖監測臨床應用與護理進展[J]. 西部醫學, 2010, 22(12): 2337.
11. 　Clement S, Braithwaite SS, Magee MF, et al. Management of diabetes and hyperglycemia in hospitals[J]. Diabetes Care, 2004, 27(2): 553-591.
12. 　Dungan KM, Braithwaite SS, Preiser JC. Stress hyperglycaemia[J]. Lancet, 2009, 373(9677): 1798-1807.
13. 　Marik PE, Preiser JC. Toward understanding tight glycemic control in the ICU: a systematic review and metaanalysis[J]. Chest, 2010, 137(3): 544-551.
14. 　Arabi YM, Tamim HM, Rishu AH. Hypoglycemia with intensive insulin therapy in critically ill patients: predisposing factors and association with mortality[J]. Crit Care Med, 2009, 37(9): 2536-2544.
15. 　劉雪蓮. 臨床護士血糖管理知識調查分析及對策[J]. 中國老年保健醫學, 2010, 8(1): 621.

West China Medical Journal

Experience of Nursing Patients with Severe Acute Pancreatitis Undergoing Intensive Glucose Control

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