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目的探讨胃肠道补液联合静脉补液及单纯静脉补液两种方式治疗糖尿病高渗性综合征的疗效。方法治疗组采用胃肠道补液联合静脉补液;对照组单纯静脉补液。结果治疗48h后,治疗组血糖、血钠及血浆渗透压降低幅度优于对照组(P<0.001),心袁、脑水肿的发生率和病死率均明显降低。结论静脉加胃肠道补液抢救糖尿病高渗性综合征优于单纯静脉补液。
Objective To investigate the efficacy of gastrointestinal rehydration combined with intravenous rehydration and simple intravenous rehydration in the treatment of diabetic hypertonic syndrome. Methods The treatment group received gastrointestinal rehydration combined with intravenous rehydration; the control group received intravenous rehydration alone. Results After 48 hours of treatment, the decrease of blood glucose, serum sodium and plasma osmolality in the treatment group was better than that in the control group (P <0.001). The incidence of heart failure, brain edema and mortality were significantly decreased. Conclusion Vein plus gastrointestinal rehydration is superior to simple intravenous rehydration in hypertrophic diabetic syndrome.