针对建立高糖钳夹试验中的护理研究
1. 北京市糖尿病研究所, 北京 100730
2. 北京同仁医院, 内科, 北京 100176
3. 首都医科大学附属北京同仁医院, 内分泌科, 北京 100176
| 摘 要： | 目的：探讨高糖钳夹试验的建立及护理研究与问题改进。方法：选取19名居住在北京地区的健康成年男性，每人进行两次高糖钳夹试验，检测受试者在高糖状态下胰岛素分泌能力，分析在高糖钳夹试验的操作中出现的护理问题及相应的问题解决对策。结果：19例受试者全部成功实施了共计38次高糖钳夹试验。其血浆葡萄糖浓度能够在试验指定的时间内达到所要求的理想平台。检测受试者的胰岛素及C肽水平，发现均呈现双相分泌。因本试验操作繁琐，时间较长，试验过程中遇到一些问题，最终在操作者相互配合下均顺利解决，使38次高糖钳夹试验成功建立。结论：在进行高糖钳夹试验前应做好充分的准备工作，对受试者进行必要的心理护理，是实验成功的必要条件，护理人员在整个试验过程中做到对试验步骤熟练，保持血管通畅、观察采血处局部皮肤情况，最终保证钳夹试验顺利完成。 |
| 关 键 词： | 成人; 高糖钳夹; 问题分析; 对策; 护理 |
| DOI： | 10.57237/j.nhres.2023.02.001 |
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收稿日期: 2023-02-19
接受日期: 2023-05-29
在线出版日期: 2023-06-15
Analysis and Countermeasures of Nursing Problems in Hyperglycemic Clamp Experiment
1. Endocrinology Department of Beijing Tongren Hospital, Capital Medical University, Beijing 100176, China
2. Department of Internal Medicine, Beijing Tongren Hospital, Beijing 100176, China
| Abstract: | Objective: Explore the establishment of high sugar clamp test and nursing research and problem improvement. Method: Nineteen healthy adult males residing in the Beijing area were selected to undergo two high-glucose clamp tests each to test their insulin secretion ability under high glucose conditions. Nursing issues and corresponding problem-solving strategies that occurred during the operation of the high-glucose clamp test were analyzed. Result: All 19 subjects successfully conducted a total of 38 high glucose clamp tests. The plasma glucose concentration can reach the desired ideal platform within the specified time in the experiment. The insulin and C-peptide levels of the subjects were detected and showed biphasic secretion. Due to the cumbersome and lengthy operation of this experiment, some problems were encountered during the experiment. With the cooperation of the operators, they were successfully resolved, resulting in the successful establishment of 38 high sugar clamp experiments. Conclusion: Adequate preparation should be made before conducting the high sugar clamp test, and necessary psychological care should be provided to the subjects. This is a necessary condition for the success of the experiment. Nursing staff should be proficient in the experimental steps throughout the entire process, maintain blood vessel patency, observe the local skin condition at the blood collection site, and ultimately ensure the smooth completion of the clamp test. |
| Keywords: | Adult; Hyperglycemic Clamp Technique; Problem Analysis; Countermeasure; Nursing |
参考文献
| [1] | 邢小燕, 李光伟. 长效胰岛素类似物葡萄糖钳夹研究结果分析[J]. 中国糖尿病杂志, 2010, 18 (2): 158-160. |
| [2] | 朱敏, 贾伟平, 包玉倩, 等. 高葡萄糖钳夹技术的建立 [J]. 2004, 12 (1): 23-27. |
| [3] | Suprasongsin C, Danadian K, Arslanian SJPR. Hyperglycemic Clamp: A Single Experiment to Simultaneously Assess Insulin Secretion and Insulin Sensitivity in Children 420 [J]. 1997, 41 (4): 72. |
| [4] | Defronzo RA, Tobin JD, Andres RJAJoP. Glucose clamp technique: a method for quantifying insulin secretion and resistance [J]. 1979, 237 (3): E214. |
| [5] | 荆亭, 王杭雨, 朱剑, 等. 连续高胰岛素-正糖-低糖长程钳夹技术的护理体会 [J]. 2018, 003 (18): 30-31. |
| [6] | 曹瑾怡, 池洁, 邓玉颖, 等. 静脉-口服双重高葡萄糖钳夹试验的技术难点及临床处理对策 [J]. 2015, (03): 61-64. |
| [7] | 叶严丽, 王丽珠, 王秀宝. 保暖贴在ICU的妙用 [J]. 护理实践与研究, 2012, 9 (14): 126. |
| [8] | 孟俊华, 陶旭, 安婧, 等. 高胰岛素-正常葡萄糖钳夹检查的护理问题及对策 [J]. 2007, 013 (20): P. 1874-1876. |
| [9] | 呼庆红, 梁真, 罗国春, 等. 67例病人高葡萄糖钳夹试验中护理问题及对策 [J]. 护理学报, 2007, 14 (1): 48-49. |
| [10] | 孙冉, 金璐, 李建荣, 等. 针对建立高糖钳夹试验过程中的问题分析与改进 [J]. 北京医学, 2021, 43 (7): 705-708. |
| [11] | 周军, 姜秋红. Botnia钳夹试验的护理 [J]. 中国实用护理杂志, 2012, 28 (3): 17-18. |
| [12] | 刘敬珍, 赵亚芝, 李萍 等. 高胰岛素-正葡萄糖钳夹技术的护理 [J]. 护理实践与研究, 2010, 7 (15): 39-41. |
| [13] | 中国护理管理, 李J. 美国INS2016版《输液治疗实践标准》要点解读 [J]. 2017, (2). |
| [14] | 秦月华, 袁翠萍, 周红文, 等. 高胰岛素-正葡萄糖钳夹技术的护理体会 [J]. 2013, (12): 62-64. |
| [15] | 喻红玲, 余叶蓉, 袁丽, 等. 正常血糖高胰岛素钳夹技术的应用及护理 [J]. 2003, 038 (10): 785-787. |
