Objective:Investigation nursing experience of patients with moderate or severe craniocerebral injury complicated by stress hyperglycemia undergoing insulin intensification therapy. Methods:Patients with moderate or severe craniocerebral injury complicated by Stress Hyperglycemia,treated in our hospital from January 2005 to January 2009, were analyzed retrospectively. 97 cases were divided into observation group and control group respectively, the patients of observation group were given insulin intensification therapy. The patients of control group were given routine control method for blood glucose.Result:Cases with good prognosis(GOSⅤ) in observation group was more than that in control group.Patients disabled moderately(GOSⅣ) or seriously (GOSⅢ) in observation group was fewer than control group.The lasting time of insulin usage and hospital day is obviously shorter in observation group.The observation group has a less hospital onset of infection ratio and a smaller incidence of bad event such as hypoglycemia,hyperosmolar nonketotic diabetic coma and hypopotassaemia than control group.Conclusion:It was safety and effective to applicate insulin intensification therapy for patients with moderate or severe craniocerebral injury complicated by stress hyperglycemia.%目的:探讨中重度颅脑损伤合并应激性高血糖患者使用胰岛素强化治疗的护理问题.方法:对2005年1月～2009年1月我科收治的中重度颅脑损伤合并应激性高血糖患者采用回顾性分析,将符合纳入/排除标准的97例患者分为观察组和对照组,观察组给予胰岛素强化治疗方案,对照组按常规控制血糖.结果:观察组预后为良好(GOSⅤ级)的患者多于对照组,而重残、中残(GOSⅢ级、Ⅳ级)的患者少于对照组.观察组患者使用胰岛素天数及住院天数明显低于对照组(P<0.05),观察组院内感染率低于对照组,低血糖、高渗性昏迷、低钾血症的发生都明显低于对照组.结论:在中重度颅脑损伤合并应激性高血糖患者中应用胰岛素强化治疗安全有效.
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