The application effect of emergency care in patients with diabetic ketoacidosis in the emergency department
急救护理在急诊糖尿病酮症酸中毒患者中的应用效果

摘要

目的 分析急救护理用于急诊糖尿病酮症酸中毒患者中的使用效果。方法 选取2024年2月-2024年12月在我院急诊科就诊的急诊糖尿病酮症酸中毒患者70例进行研究，采用随机数表法分为观察组和对照组，每组35例。观察组接受急救护理，对照组采用传统护理。对比两组患者护理后血糖水平及各项指标恢复时间，记录两组并发症及护理满意情况。结果 护理后，观察组血糖水平出现明显降低，且酸中毒纠正时间、尿酮恢复时间、血糖控制达标时间均较对照组缩短，差异有统计学意义（P<0.05）。组间比较并发症情况，其中观察组患者并发症率大幅度降低，与对照组相比差异有统计学意义（P<0.05）。观察组和对照组满意率为（97.14%vs80.00%），差异有统计学意义（P<0.05）。结论 对急诊糖尿病酮症酸中毒患者实施急救护理可有效改善临床症状，缩短患者住院时间，且安全性较高，值得在临床上进一步推广使用。

Abstract

Objective To analyze the effect of emergency care in emergency patients with diabetic ketoacidosis.
Methods A total of 70 patients with emergency diabetic ketoacidosis who visited the emergency department of our hospital from February 2022 to December 2024 were selected for the study. They were divided into the observation group and the control group by random number table method, with 35 cases in each group. The observation group received emergency care, while the control group received traditional care. The blood glucose levels and the recovery time of various indicators of the two groups of patients after nursing were compared, and the complications and satisfaction with nursing of the two groups were recorded.
Results After the nursing care, the blood glucose level in the observation group decreased significantly, and the correction time for acidosis, the recovery time for urine ketone, and the time to achieve the target blood glucose control were all shorter than those in the control group, with statistically significant differences (P<0.05). The complication rates were compared between groups. The complication rate of patients in the observation group was significantly reduced, and the difference was statistically significant compared with the control group (P<0.05). The satisfaction rates of the observation group and the control group were (97.14%vs80.00%), and the difference was statistically significant (P<0.05).
Conclusion   The implementation of emergency care for patients with diabetic ketoacidosis in the emergency department can effectively improve clinical symptoms, shorten the hospital stay of patients, and has high safety. It is worthy of further promotion and application in clinical practice.