[摘要] 目的 探讨水化疗法配合小剂量胰岛素治疗对高渗性昏迷的临床应用价值。方法 我们对2001年2月～2006年5月期间收治的高渗性昏迷病人共26例采用了水化疗法结合小剂量胰岛素治疗。另外选取1995年9月～2001年2月期间曾以传统疗法治疗的高渗性昏迷病人26例作为对照组。 结果 采用水化疗法配合小剂量胰岛素的治疗组在治疗48 h后血糖、血钠及血浆渗透压水平即显著下降，与采用传统方法的对照组比较差异有显著性。 结论 水化疗法配合小剂量胰岛素疗法，其疗效优于传统的治疗方法，值得临床推广应用。

    [关键词] 糖尿病；非酮症高渗性昏迷；水化疗法；胰岛素

    Study on the treatment of hyperosmolar nonketotic diabetic coma with rehydration therapy and low dosage insulin

    PAN Qing-xiu,QIAN Feng-hua.The Center of Xuhui Kangjian Community Health Service,Shanghai 200233，China

    [Abstract] Objective To investigate the effective value of treating with rehydration therapy and low dosage insulin for hyperosmolar nonketotic diabetic coma. Methods From February.2001 to May 2006,we have treated 26 cases of hyperosmolar nonketotic diabetic coma with rehydration therapy and low dosage insulin.We also choose 26 patients from September.1995 to February.2001 who were treated by conventional therapy as contrast group.Results The levels of blood glucose,Na+ and plasma osmotic pressure in patients received the rehydration therapy and low dosage insulin were decreased significantly after 48 hour therapy compared with contrast group. Conclusion The treatment with rehydration therapy and low dosage insulin is effective and significantly superior to conventional therapy. ......