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目的：探讨老年女性骨外伤患者应激性血糖变化的观察及护理措施。方法：回顾性分析2010年2月～2014年2月在我院骨科接受治疗的60岁以上女性骨外伤并发应激性血糖变化的49例患者的临床资料，对其应激性血糖变化的观察及护理措施进行探讨。结果：本组49例患者经过两周的应激性高血糖监测及对症治疗后，43例患者无切口感染，拆线后均正常出院；5例患者病情好转，但仍需住院观察；1例患者经过持续一周的胰岛素强化治疗，血糖值仍高于27.9 mmol ／L，最后因并发多脏器衰竭，家属放弃治疗而死亡。结论：老年女性骨外伤患者并发应激性血糖变化的病情较凶险，护理人员在密切配合医师治疗的同时，制定并实施切实可行的护理措施，可有效调整血糖浓度，改善预后，提高患者的生活质量。“,”OBJECTIVE: To study the changes of stress blood glucose in elderly female patients with bone trauma.METHOD:Clinical data of 49 old females ( >60 year) with stress hyperglycemia after bone trauma was analyzed retrospectively.They received treatment in our hospital from February 2010 to February 2014.RESULTS: 49 Patients received stress high blood glucose monitoring and symptomatic treatment for two weekes.43 Patients without incision infection and after taking out stitches were normal and dis-change.5 Patients were improved, but still needed to be hospitalized for observation; 1 patient’ s blood glucose level was still more than 27.9mmol/L after receiving intensive insulin therapy for a week, finally because of the multiple organ failure the patient died. CONCLUSION: For elderly female patients with traumatic bone changes combined with severe stress hyperglycemia, the formulation and implementation of the practical and feasible nursing measures can effectively adjust the concentration of blood glucose, and im-prove prognosis and the quality of life of these patients.