脑外科急危重患者血糖控制与护理措施.docVIP

精品论文 参考文献 脑外科急危重患者血糖控制与护理措施 罗晓菊 万鸿 (四川宣汉县人民医院 636150) 　　【摘要】目的:探讨脑外科急危重症患者血糖控制的方法和相应的护理措施。方法:选取自2013年1月至2014年1月于本院脑外科收入院并被诊断为重型颅脑损伤的患者30例，所有患者在伤后24小时后进行血糖测定，测定前8小时避免输入葡萄糖，患者均在伤后24小时后出现不同程度的血糖的升高。对30例患者采取血糖监测、血糖控制加上综合护理的措施， 观察患者血糖的恢复情况。结果:30例患者除2例脑疝的患者血糖一直没有改善外，12例患者在4-14天血糖已恢复正常，14天后剩余16例患者的血糖陆续恢复至正常水平。结论: 对于脑外科急危重症而又出现血糖异常的患者，及时的血糖监测、对血糖进行控制再加上综合的护理干预能有效的控制患者的血糖，防止患者的病情进一步恶化。 　　【关键词】颅脑损伤 血糖控制 护理干预 　　【中图分类号】R473.74 【文献标识码】B 【文章编号】1672-5085（2014）07-0227-02 　　 Brain blood glucose control in critical patients and nursing measures 　　【Abstract】 Objective: to investigate the brain surgery in patients with critical patients blood sugar control method and the corresponding nursing measures. Selection methods: from January 2013 to January 2013 in our hospital and was diagnosed with brain income 30 cases of severe craniocerebral injury patients, all patients were performed after the 24 hours after injury glucose determination, determination of glucose to avoid input, 8 hours before patients after 24 hours after injury of different levels of blood sugar to rise. Take the blood glucose monitoring in patients with 30 cases, blood sugar control, and comprehensive nursing measures, the blood sugar recovery were observed. Results: 30 cases of patients except two cases of blood glucose in patients with cerebral hernia has not improved, 4-14 days in 12 patients had returned to normal blood sugar, blood glucose in 14 days after the rest of the 16 patients return to normal levels. Conclusions: the brain critical patients and patients with abnormal blood sugar, blood sugar monitoring in time, to control blood sugar, coupled with comprehensive nursing intervention can effectively control the patients blood sugar, prevent the patient from further deterioration. 　　【Key words】 craniocerebral injury Blood sugar control Nursing intervention 　　脑外科收入院的急危重患者病情危急、昏迷时间长、病情变化快，治疗期间会发生各种并发症。颅脑损伤后的一个常见并发症即为血糖升高[1]。血糖升高导致患者血浆渗透压升高，可能会延长昏迷