• 四川大學(xué)華西醫(yī)院重癥醫(yī)學(xué)科（成都，610041）;

目的 　探討護理行為對重癥急性胰腺炎患者在實時強化血糖控制和治療中的效果與影響。 方法 　選擇2010年7月－2011年7月15例采用強化血糖控制研究的急性重癥胰腺炎患者，對其實時24 h動態(tài)血糖監(jiān)測的護理方法及要點進行回顧分析。 結(jié)果 　15例患者順利完成強化血糖控制的臨床研究，血糖值達到目標(biāo)監(jiān)測范圍（6.1～8.3 mmol/L）的百分比例78.3%，未出現(xiàn)嚴(yán)重并發(fā)癥。 結(jié)論 　實時動態(tài)的血糖監(jiān)測、嚴(yán)格執(zhí)行的強化血糖控制方案及針對性護理措施可為重癥胰腺炎患者的血糖強化控制提供安全有效的保證。

引用本文： 唐荔,廖燕,龍黎黎,左艷艷. 急性重癥胰腺炎患者強化血糖控制護理. 華西醫(yī)學(xué), 2012, 27(6): 921-923. doi: 復(fù)制

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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. 　吳翊.‘‘ 雙 C’’ 方案在難治性糖尿病病人血糖控制中的應(yīng)用及護理[J]. 護理研究, 2010, 24(6): 1439-1441.
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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. 　劉雪蓮. 臨床護士血糖管理知識調(diào)查分析及對策[J]. 中國老年保健醫(yī)學(xué), 2010, 8(1): 621.
  1. 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. 2. 　McCowen KC, Malhotra A, Bistrian BR. Stress-induced hyperglycemia[J]. Crit Care Clin, 2001, 17(1): 107-124.
  3. 3. 　曹相原, 王曉紅, 馬少林, 等. 應(yīng)激性高糖血癥與胰島素抵抗的相關(guān)因素研究[J]. 中國危重病急救醫(yī)學(xué), 2006, 18(12): 751-754．.
  4. 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. 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. 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. 7. 　吳翊.‘‘ 雙 C’’ 方案在難治性糖尿病病人血糖控制中的應(yīng)用及護理[J]. 護理研究, 2010, 24(6): 1439-1441.
  8. 8. 　胡水香. 腦卒中患者強化血糖控制的護理[J]. 護士進修, 2010, 25(15): 1394-1395.
  9. 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. 10. 　錢進, 周立新, 唐雪, 等. 動態(tài)血糖監(jiān)測臨床應(yīng)用與護理進展[J]. 西部醫(yī)學(xué), 2010, 22(12): 2337.
  11. 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. 12. 　Dungan KM, Braithwaite SS, Preiser JC. Stress hyperglycaemia[J]. Lancet, 2009, 373(9677): 1798-1807.
  13. 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. 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. 15. 　劉雪蓮. 臨床護士血糖管理知識調(diào)查分析及對策[J]. 中國老年保健醫(yī)學(xué), 2010, 8(1): 621.