The effect of glycemic control on severe intra-abdominal infection patients underwent nutrition

Objective: To investigate the target value of glycemic control through the proposal handled by nurses and observe the clinical efficiency of different levels of blood glucose.Methods: 92 severe intra-abdominal infection patients underwent nutrition in our ward from Jan.2010 to Jun.2011 were treated with our proposal of glycemic control.The target value was 4.4~8.33 mmol/L.Blood glucoses were monitored within 72 h and the average value and standard deviation were calculated.We designed three groups by average value,group A of 4.4~8.33 mmol/L,group B of 8.34~10.0 mmol/L,and group C 10.0 mmol/L.There were three groups by standard deviation,group①≤1.50 mmol/L,group ② between 1.51~2.50 mmol/L and group③2.50 mmol/L.Mobidity of hypoglycemia and mortality were compaired.Results: By the comparison of average values,group A had statistically significant difference with group B and group C respectively.By the comparison of standard deviations,mobidity of hypoglycemia and mortality were increased with higher deviations.Conclusion: To control the blood glucose within 4.4~8.33 mmol/L through the proposal handled by nurses on severe intra-abdominal infection patients underwent nutrition can improve clinical efficiency.It is important to control blood glucose beside bed to reduce its fluctuation.