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综合急救干预对糖尿病酮症酸中毒患者的应用价值研究

牛永国 朱蓓

中华灾害救援医学2025,Vol.12Issue(4):433-436,4.
中华灾害救援医学2025,Vol.12Issue(4):433-436,4.DOI:10.13919/j.issn.2095-6274.ZHJY202503002

综合急救干预对糖尿病酮症酸中毒患者的应用价值研究

Study on the Application Value of Comprehensive Emergency Intervention in Patients with Diabetic Ketoacidosis

牛永国 1朱蓓2

作者信息

  • 1. 250000 山东济南,济南高新东区医院内分泌科
  • 2. 250000 山东济南,济南高新东区医院检验科
  • 折叠

摘要

Abstract

Objective To explore the clinical value of different emergency intervention strategies in the management of diabetic ketoacidosis(DKA)patients.Methods A retrospective analysis was conducted on 60 patients with diabetic ketoacidosis who were admitted to the Department of Endocrinology at Jinan High-Tech East District Hospital from June 2023 to June 2024.Based on the emergency intervention protocol used,the patients were divided into two groups:the observation group(received comprehensive emergency interventions,n=30)and the control group(received conventional emergency interventions,n=30).Blood glucose levels,recovery times for clinical indicators,hospital stay duration,clinical treatment outcomes,and incidence of complications were compared between the two groups.Results Before treatment,there were no statistically significant differenc-es in fasting blood glucose and 2-hour postprandial blood glucose levels between the two groups(P>0.05).After treatment,both groups showed a significant reduction in fasting blood glucose and 2-hour postprandial blood glu-cose levels compared to baseline(P<0.05).Furthermore,the fasting blood glucose and 2-hour postprandial blood glucose levels in the observation group were significantly lower than those in the control group(P<0.05).The time required for improvement in clinical efficacy indicators was significantly shorter in the observation group compared to the control group,including the time for negative urinary ketones,negative blood ketones,correction of acidosis,achievement of blood glucose targets,and length of hospitalization(all P<0.001).The overall clinical efficacy rate was significantly higher in the observation group than in the control group(96.67%vs.76.67%,P<0.05).Addition-ally,the total incidence of complications during treat-ment was significantly lower in the observation group compared to the control group(6.67%vs.26.67%,P<0.05).Conclusion For diabetic ketoacidosis pa-tients,comprehensive emergency interventions can rapidly achieve negative urinary and blood ketones,normalize blood glucose levels,and correct acidosis.This approach effectively improves blood glucose control,enhances the efficacy of emergency treatment,and increases patient safety.

关键词

糖尿病酮症酸中毒/综合急救干预/血糖

Key words

Diabetic ketoacidosis/Comprehensive emergency interventions/Blood glucose

分类

医药卫生

引用本文复制引用

牛永国,朱蓓..综合急救干预对糖尿病酮症酸中毒患者的应用价值研究[J].中华灾害救援医学,2025,12(4):433-436,4.

中华灾害救援医学

2095-6274

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