Clnical Observation on Combined Fluid Infusion Through Gastrointestinal Tract plus Intravenous Route for Treatment of Diabetic Ketoacidosis

ObjectivesTo explore the therapeutic efficacy of combined fluid infusion through gastrointestinal tract plus intravenous Route for diabetic ketoacidosis (DKA).MethodsOne hundred and twenty patients with DKA were randomly divided into two groups:①Treated group,sixty cases, combined fluid infusion through gastrointestinal tract plus intravenous route was given;②Control group,another sixty cases, intravenous infusion was scheduled only. The changes of blood biochemical parameters and excretion of urinary ketone bodies in both groups were observed before and after therapy. ResultsIn the treated group, the blood levels of glucose, potassium and sodium decreased obviously and returned to normal in 24 hours after treatment,as compared with the control group(P0.05). The blood contents of electrolytes and carbon dioxide combining power in patients of this group returned to normal more quickly, urinary ketone bodies disappeared earlier, and their consciousness recovered rather rapidly; in addition,a lesser volume of intravenous infusion was required. No complications such as cerebral edema,pulmonary edema and hypokalemia occurred.ConclusionFluid infusion through gastrointestinal tract together with intravenous route used for DKA is simple, safe and effective.