摘要
目的比较不同补液方式治疗高血糖高渗综合征的临床效果。方法选取我院2013年6月至2016年6月收治的90例高血糖高渗综合征患者,根据不同临床治疗方法将其分为两组各45例。研究组给予肠道补液联合静脉补液,对照组给予静脉补液。比较两组患者的血糖、血钠、血浆渗透压以及渗透压开始降低时间和降到正常时间。结果治疗前,两组患者的血糖、血钠和血浆渗透压水平比较差异均无统计学意义(P>0.05);治疗后,研究组的的血糖、血钠和血浆渗透压水平均明显低于对照组,差异有统计学意义(P<0.05)。研究组的渗透压开始降低时间和降到正常时间均明显短于对照组,差异有统计学意义(P<0.05)。结论肠道补液联合静脉补液可显著改善患者的临床指标,提高治疗效果,是治疗高血糖高渗综合征的理想方式之一。
Objective To compare the clinical effects of different fluid replacement ways in the treatment of diabetic hyperosmolar syndrome. Methods 90 cases of patients with diabetic hyperosmolar syndrome admitted to our hospital from June 2013 to June 2016 were selected and divided into two groups according to different clinical treatment, with 45 cases in each group. The study group received intestinal fluid replacement combined with intravenous fluid replacement, while the control group received intravenous infusion. The blood glucose, serum sodium, plasma osmotic pressure, the time for osmotic pressure starting to decrease and the time for osmotic pressure falling to normal were compared between two groups. Results Before treatment, no statistical difference was found in the blood glucose, serum sodium and plasma osmotic pressure levels between two groups （P 〉0.05）. After treatment, the blood glucose, serum sodium and plasma osmotic pressure levels of study group were significantly lower than those of control group, with statistical differences （P 〈0.05）. The time for osmotic pressure starting to decrease and the time for osmotic pressure falling to normal in study group were significantly shorter than those in control group, with statistical differences （P 〈0.05）. Conclusions Intestinal fluid replacement combined with intravenous fluid replacement can significantly improve patients＇ clinical indicators and treatment effect, which is one of the ideal way for treating diabetic hyperosmolar syndrome.
出处
《临床医学工程》
2017年第5期693-694,共2页
Clinical Medicine & Engineering
关键词
高血糖高渗综合征
静脉补液
肠道补液
Diabetic hyperosmolar syndrome
Intravenous fluid replacement
Intestinal fluid replacement
