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小儿糖尿病酮症酸中毒的急救与护理分析

Analysis of Emergency and Nursing Care of Children with Diabetic Ketoacidosis
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摘要 目的对小儿糖尿病酮症酸中毒的急救与护理进行研究分析。方法研究对象选取自2018年6月—2019年11月,在该院接受诊治的糖尿病酮症酸中毒患儿30例,对其进行有效治疗以及护理干预,比较患儿干预前后血糖、血钠及血钾水平以及患儿护理前后的炎症细胞因子水平。结果患儿急救与护理干预后的血糖水平明显低于干预后,差异有统计学意义(P<0.05);患儿干预后的血钠及血钾水平略高于干预前,但差异无统计学意义(P>0.05);患儿干预后的TNF-α、IL-6、IL-12、IL-18水平皆明显低于干预前,差异有统计学意义(P<0.05)。结论对小儿糖尿病酮症酸中毒患儿实施有效的急救以及护理措施,能够将患儿的血糖水平降低,并且降低患儿的TNF-α、IL-6、IL-12及IL-18水平,具有较高的临床应用价值,可推广使用。 Objective To study and analyze the emergency and nursing care of children with diabetic ketoacidosis.Methods The study subjects were selected from June 2018 to November 2019.30 children with diabetic ketoacidosis who were diagnosed and treated in the hospital were given effective treatment and nursing intervention to compare their blood glucose and blood sodium before and after treatment,and serum potassium levels and inflammatory cytokine levels before and after treatment in children.Results The blood glucose level of the child after treatment was significantly lower than that of the control group,the difference was statistically significant(P<0.05);the blood sodium and potassium levels of the child after treatment were slightly higher than that before nursing,the difference was not statistically significant(P>0.05);The levels of TNF-α,IL-6,IL-12,and IL-18 were significantly lower than those before treatment,the difference was statistically significant(P<0.05).Conclusion Implementing effective first aid and nursing measures for children with diabetic ketoacidosis can reduce the blood glucose level of the children and relieve TNF-αand IL-6,IL-12 and IL-18 levels,have high clinical application value and can be promoted and used.
作者 陈艺兰 吴凤娇 CHEN Yi-lan;WU Feng-jiao(Department of Pediatrics,Xiamen Maternity and Child Health Hospital,Xiamen,Fujian Province,361000 China)
出处 《糖尿病新世界》 2020年第24期167-169,共3页 Diabetes New World Magazine
关键词 小儿糖尿病酮症酸中毒 急救 护理 Children with diabetic ketoacidosis First aid Nursing
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