【摘 要】 目的 探讨鼻饲温开水对糖尿病脑梗死后合并高渗综合征时血Na + 、血糖、有效渗透压等的影响。 方法 观察对象随机分为鼻饲组与对照组。鼻饲组采用胃管注入温开水加静脉补液，对照组单纯静脉补液。 结果 鼻饲组28例中25例(89.3%)、对照组15例中7例(46.7%)血浆有效渗透压降至320mmol.L以下，2组比较有显著性差异(P<0.01);鼻饲组显效25例(89.3%)，死亡3例(10.7%);对照组显效7例(46.7%)，死亡8例(53.3%)，2组疗效比较有非常显著性差异(P<0.01)。 结论 鼻饲温开水抢救糖尿病脑梗死后合并高渗综合征早期血糖维持在(13.5±5.50)mmol.L，血浆有效渗透压维持在(310±12.9)ml.L可显著降低死亡率。

    【关键词】 糖尿病;脑梗死;高渗综合征;鼻饲;温开水

    Intubation feeding of warm water in saving diabetic cerebral infarction complicated by hypertonic syndrome

    ZHENG Chengdong * ，WANG Shengxiang.

    * Linyi Medical College，Shandong，Linyi 276002，China

    【Abstract】 Objective To investigate the effect of intubation feeding of warmwater on blood Na + ，blood sug-ar and effective osmotic pressure in diabetic cerebral infarction complicated by hypertonic syndrome.Methods The patients were randomly divided into intubation feeding group and control group.The former was treated by intubation feeding of warm water and intravenous injection ......