摘要
目的:观察胰岛素直接加入全营养混合液中进行肠外营养对病人血糖浓度的影响。方法:在53例共647例次肠外营养中,胰岛素直接加入全营养混合液输注,胰岛素与葡萄糖开始配比为1∶10,在肠外营养期间,观察营养液中胰岛素与葡萄糖配比均值和平均输注速度,营养液输注前1 h、输注后6 h及12 h的各时段血糖变化值,并根据血糖测定值调整胰岛素与葡萄糖配比。结果:所有病人均顺利完成肠外营养治疗,无一例发生低血糖昏迷及非酮症性高渗性糖尿病昏迷。营养液中胰岛素与葡萄糖的平均比值为1∶8;输注速度为140 mL/h;输注前1 h血糖值为(6.043±1.210)mmol/L,输注后6 h为(6.470±1.359)mmol/L,12 h为(6.262±0.966)mmol/L,营养液输注后,各时段所测血糖水平变化差异无显著性意义(P>0.05)。结论:将胰岛素直接加入全营养混合液中输注,能有效地维持病人的血糖水平。
Objective：To study the effect of insulin directly added into total nutrient admixture （TNA） infusion on blood glucose level during parenteral nutrition support. MethYls ：53 patients （647 times） were supported by parenteral nutrition. The insulin was directly added into toial nutrition admixture （TNA） and transfused. Originally, the ratio of insulin ＆ glucose is 1 ： 10. During nutrition support, the ratio of insulin ＆ glucose, average infusion speed and the blood glucose concentration were surveyed 1 hour before the use of TNA, and 6,12 hours after insulin administration. And based on the blood glucose level, the ratio of insulin ＆ glucose was accordingly adjusted. Results：All patients were successfully finished nutrition support. No one case had happened hypoglycemic coma or nonketotic hyperosmolar diabetic coma. In TNA, the average ratio of insulin ＆ glucose was 1 ： 8. The average infusion speed was 140 mL/h. The blood glucose concentration was （6. 043 ± 1. 210） mmol/L 1 hour before the use of TNA, （6.470 ±1. 359） mmol/L and （6.262 ± 0. 966） mmol/L 6,12 hours after insulin administration. The variations of blood glucose level at different times had no significant diffeience （P 〉 0.05 ）. Conclusion：The method of insulin directly added during parenteral nutrition support.
出处
《肠外与肠内营养》
CAS
2006年第4期203-205,共3页
Parenteral & Enteral Nutrition
关键词
血糖
胰岛素
全营养混合液
肠外营养
Blood glucose level
Insulin
into TNA can efficiently manage the blood glucose level Total nutrient admixture
Parenteral nutrition
