Efficacy of control blood sugar by double-pump among severe patients with duodenectomy
10.3760/cma.j.issn.1672-7088.2009.10.044
- VernacularTitle:双泵法对胰十二指肠切除术后重症患者早期血糖控制的作用
- Author:
Zheng ZHOU
;
Yongfeng XUE
;
Yan XU
;
Dengling HE
;
Wei LU
;
Xiangyu CHEN
;
Min XIE
- Publication Type:Journal Article
- Keywords:
Severe;
Insulin;
Blood sugar;
Nursing
- From:
Chinese Journal of Practical Nursing
2009;25(29):8-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To know the efficacy and safety of the blood sugar control by double-pump a-mong severe patients with duodenectomy. Methods Divided 60 severe patients with doudenectomy into the experimental group and the,control group randomly, there were 30 cases in each group. In the control group, pa-tients received intravenous infusion with the liquid containing glucose and neutral insulin (4g: 1 U), intravenous injection of 50U neutral insulin added into 50ml normal saline by micro-pump, the pump speed was In the ex-perimental group, sugar-containing liquid without insulin was infused within 24 hours by infusion pump with u-niform speed, a neutral insulin 50U mixed with 5Oral normal saline were injected by micro-pump according to the ratio fo glucose 4g: 1U neutral insulin through the same vein. Which also adjusted the pump speed according to maintaining blood sugar in the range of 4.4～8.3mmol/L. Compared the level of blood sugar control, treatment safety, efficacy and the workload of nurses between the two groups. Results The highperglycemic index and the time to achieve target values of blood sugar in the experimental group was shorter than in the control group respectively, while the time of keep blood sugar in idea level in the experimental group was longer than in the control group. There were no significant difference about incidence rale of hypoglycemia and workload of nurses between the two groups. Conclusions Double-pump can effective control blood sugar for severe patients with duodenectomy without burden nurses' workload, which is more reasonable than the traditional method.
