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目的:通过调查与比较,更加具体和客观的了解血糖控制在危重症护理中的意义,为今后的护理工作提供更加科学合理的指导。方法:选取2015年6月到2016年6月期间在我院危重症病房接受治疗的病患100例,随机分为普通组和控糖组,比较两组患者的APACHE、SOFA以及发生感染率。结果:普通组患者的APACHE为16.08±3.12,SOFA为7.93±0.23,控糖组患者的APACHE为13.16±2.07,SOFA 6.27±0.01;普通组患者发生感染概率为10%,控糖组发生感染概率为0%。所以,控糖组在APACHE、SOFA以及感染发生率方面的数据均优于普通组。结论:首先肯定了血糖控制在危重症护理中的积极意义,其次建议临床推广并不断完善控制血糖的方法与措施。
OBJECTIVE: Through investigation and comparison, it is more specific and objective to understand the significance of glycemic control in critical care and to provide more scientific and reasonable guidance for future nursing. Methods: One hundred patients admitted to our critical care unit from June 2015 to June 2016 were randomly divided into normal group and control group. APACHE, SOFA and incidence of infection were compared between the two groups. Results: APACHE in general group was 16.08 ± 3.12, the SOFA was 7.93 ± 0.23, APACHE in control group was 13.16 ± 2.07 and SOFA was 6.27 ± 0.01. The probability of infection in common group was 10%, and the probability of infection in control group Is 0%. Therefore, the control group in APACHE, SOFA and the incidence of infection data are better than the normal group. Conclusion: First of all, the positive significance of glycemic control in critically ill patients is affirmed, and secondly, it is recommended to promote clinical practice and improve the methods and measures to control blood sugar.