儿童糖尿病酮症酸中毒的急救护理对策

摘要

目的：总结儿童糖尿病酮症酸中毒（DKA）患者的急救护理对策。方法：选取DKA患儿40例，通过医护人员配合，实施有效的护理。结果：（1）经积极的治疗和精心的护理，患儿血糖控制良好，酮体消失，酸中毒得到纠正，有效率为100%。家属非常满意度87.5%（35/40），满意度12.5%（5/40）；（2）与治疗前比较，治疗后和随访3个月时血糖、HbA1c水平、动脉血气指标和AG均降低，恢复至正常范围（P<0.05），但电解质含量无明显变化（P>0.05）。结论：治疗联合护理可显著改善患者血糖水平，降低DKA发生率，促进患儿早日康复，值得推广和借鉴。%Objective:To summarize the first-aid nursing countermeasures of children with diabetic ketoacidosis. Method:40 children with DKA were carried out effective care with doctors and nurses.Result:(1)Through aggressive treatment and careful nursing care, the blood glucose was good control,the ketone body was disappeard and the acidosis was got correct. The therapy effective rate was 100%, and the great satisfaction and satisfaction rate of family member was 87.5%(35/40) and 12.5%(5/40).(2)The level of blood glucose,HbA1c,arterial blood gas index and AG after treatment and follow-up three month was lower than before treatment(P<0.05),but the change of electrolyte contained was Unapparent(P>0.05).Conclusion:Treatment with nursing can significantly improve blood sugar levels,reduce the incidence of DKA.