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目的:探讨快速血糖测定(速测血糖)在低血糖昏迷院前急救中的应用价值。方法:对2010年1-10月经化州市人民医院急诊科抢救的100例低血糖昏迷患者的临床资料进行回顾性分析,其中院前经速测血糖明确诊断的50例患者为院前急救组,自行送来经血生化检查明确诊断的50例为对照组。明确诊断后均予应用50%GS 40~60 mL静推,继以10%GS 500 mL静滴。结果:院前急救组低血糖昏迷发病至入急诊室时间、接诊至明确诊断时间、昏迷至应用50%GS时间、应用50%GS至清醒时间均较对照组明显缩短,不良预后发生率明显低于对照组(P<0.05)。结论:速测血糖能及时明确低血糖昏迷的诊断,为院前急救赢得宝贵时间,意义重大。
Objective: To investigate the value of rapid blood glucose measurement (fasting blood glucose) in the first aid of hypoglycemic coma. Methods: The clinical data of 100 hypoglycemic coma patients who were rescued by Emergency Department of Huazhou People’s Hospital from January to October in 2010 were retrospectively analyzed. Among them, 50 patients diagnosed premorbidly by hospital were pre-hospital emergency group , Sent their own menstrual biochemical tests to confirm the diagnosis of 50 cases as a control group. Clear diagnosis are applied 50% GS 40 ~ 60 mL static push, followed by 10% GS 500 mL intravenous infusion. Results: The incidence of hypoglycemic coma in pre-hospital care group was significantly lower than that in control group (50% GS to 50% GS time) Lower than the control group (P <0.05). Conclusion: The rapid measurement of blood glucose can promptly confirm the diagnosis of hypoglycemic coma, and it is of great significance to win valuable time for pre-hospital emergency.