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目的探讨极化液治疗危重患儿高糖性高渗血症的疗效。方法将高糖性高渗血症患儿35例随机分为极化液治疗组18例和对照组17例。在综合治疗基础上,治疗组予极化液降糖治疗,监测两组患儿治疗前、入院8～12 h、第2,3天血糖。同时应用简化小儿危重病例评分法进行病情评估。结果入院时、入院8～12 h、第2天血糖值,治疗组血糖下降较快,两组比较差异有统计学意义(P<0.01),第3天两组血糖下降比较差异无统计学意义(P>0.05)。第2天治疗组转安率78%,对照组转安率41%,两组转安率比较差异有统计学意义(P<0.05);第3天两组转安率分别为100%、78%,两组比较差异无统计学意义(P>0.05)。结论应用极化液治疗危重患儿高糖性高渗血症安全有效、经济简便,利于疾病恢复。
Objective To investigate the curative effect of polarizing fluid on hyperglycemia in children with critically ill hyperglycemia. Methods 35 cases of hyperglycemia in children with hyperlipoidemia were randomly divided into Polaroid fluid treatment group of 18 cases and control group of 17 cases. On the basis of comprehensive treatment, the treatment group to the hypoglycemic treatment of polarized fluid, monitoring two groups of children before treatment, admission 8 ~ 12 h, 2,3 days of blood sugar. Simultaneous application of simplified pediatric critical illness score method for disease assessment. Results At admission, there was no significant difference between the two groups on the 3rd day after admission (8-12 h), blood glucose level on the second day and fasting blood glucose in the treatment group, with significant difference between the two groups (P <0.01) (P> 0.05). On the second day, the transfer rate was 78% in the treatment group and 41% in the control group, the difference was statistically significant (P <0.05). On the third day, the transfer rates were 100%, 78 %, No significant difference between the two groups (P> 0.05). Conclusion It is safe and effective to treat hyperglycemia and hyperosmolar hyperlipidemia in critically ill children with polar liquid. It is economical and easy to recover from disease.