摘要
目的:探讨临床中上消化道出血合并高渗性非酮症糖尿昏迷患者的临床护理方法.方法:采取回顾性方法对2012-01/2014-12南华大学附属第一医院内分泌科20例上消化道出血合并高渗性非酮症糖尿昏迷患者的临床护理方法进行总结与分析.结果:患者均在2-24 h之后度过危险期,且病情均稳定,之后经过严格的治疗与细心的护理出院,无相关并发症的发生.护理前vs护理后患者的格拉斯哥昏迷指数(Glasgow coma scale,GCS)评分(9.2分±2.2分vs 13.5分±1.8分),差异有统计学意义(P<0.05).结论:临床中应依据上消化道出血合并高渗性非酮症糖尿昏迷患者的病情状况进行及时的诊断与合理的护理,从而改善患者的预后,降低死亡.
AIM：To assess the clinical effects of nursing care of patients with upper gastrointestinal hemorrhage and hyperosmolar nonketotic diabetic coma patients.METHODS：Clinical data for 20 patients with upper gastrointestinal hemorrhage and hyperosmolar nonketotic diabetic coma treated at the First Affiliated Hospital of Nashua University from January 2012 to December 2014 were retrospectively analyzed.RESULTS：All of the patients passed the critical stage after 2-24 h,and were in stable condition.After rigorous treatment and careful nursing,all of them were discharged without the occurrence of associated complications.Glasgow coma scale（GCS） score differed significantly between before and after nursing care（9.2 ± 2.2 vs 13.5 ±1.8,P〈0.05）.CONCLUSION：Timely diagnosis and reasonable care based on patient＇s condition can improve outcomes and reduce mortality in patients with upper gastrointestinal hemorrhage with hyperosmolar nonketotic diabetic coma.
出处
《世界华人消化杂志》
CAS
2015年第9期1465-1468,共4页
World Chinese Journal of Digestology
关键词
上消化道出血
高渗性非酮症糖尿昏迷
护理方法
Upper gastrointestinal bleeding
Hyperosmolar nonketotic diabetic coma
Nursing method
作者简介
刘丽，主管护师．主要从事糖尿病方面的研究．通讯作者：刘丽，主管护师，421001，湖南省衡阳市蒸湘区船山路69号，南华大学附属第一医院内分泌科．1iuliyouxl@163．com.
