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：

急性重症胰腺炎; 血糖控制; 动态血糖监测; 护理

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目的　探讨护理行为对重症急性胰腺炎患者在实时强化血糖控制和治疗中的效果与影响。方法　选择2010年7月－2011年7月15例采用强化血糖控制研究的急性重症胰腺炎患者，对其实时24 h动态血糖监测的护理方法及要点进行回顾分析。结果　15例患者顺利完成强化血糖控制的临床研究，血糖值达到目标监测范围（6.1～8.3 mmol/L）的百分比例78.3%，未出现严重并发症。结论　实时动态的血糖监测、严格执行的强化血糖控制方案及针对性护理措施可为重症胰腺炎患者的血糖强化控制提供安全有效的保证。

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.
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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, 王晓红, 马少林, 等. 应激性高糖血症与胰岛素抵抗的相关因素研究[J]. 中国危重病急救医学, 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. 　吴翊.‘‘ 双 C’’ 方案在难治性糖尿病病人血糖控制中的应用及护理[J]. 护理研究, 2010, 24(6): 1439-1441.
8. 　胡水香. 脑卒中患者强化血糖控制的护理[J]. 护士进修, 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. 　钱进, 周立新, 唐雪, 等. 动态血糖监测临床应用与护理进展[J]. 西部医学, 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. 　刘雪莲. 临床护士血糖管理知识调查分析及对策[J]. 中国老年保健医学, 2010, 8(1): 621.

West China Medical Journal

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

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