ABSTRACT
ObjectiveTo investigate the effect of intensive insulin therapy in critically ill elderly patients.MethodsElderly patients ( ≥ 65 years) admitted to the ICU of Beijing Tongren Hospital from June 2005 to December 2007 were divided into Group A ( glucose control target was 4.4-6.1mmol/L) and Group B ( glucose control target was 7.3-8.3mmol/L).Blood glucose level was controlled with a computer-assisted glucose control protocoL ResultsA total of 639 patients were enrolled,of which 280 were in Group A and 359 in Group B.The mean blood glucose level of the 2 groups was (6.07 ± 0.56) mmol/L and (7.52 ± 0.87 ) mmol/L respectively,both within the target ranges.The hyperglycemic index was (0.69±0.44) mmol/L in Group A and ( 1.60 ±0.73) mmol/L in Group B (P =0.000).No hypoglycemia adverse events occurred in either group.No significant differences were observed in the length of stay in ICU,duration of mechanical ventilation,hospitalization expenses,ICU mortality,and hospital mortality of the 2 groups.ConclusionMaintaining the blood glucose level of critically ill elderly patients at ≤8.3 mmol/L is safe and practical.
ABSTRACT
Objective:To study the effects of supranutrional levels of yeast-selenium on antioxida-tion status and immune function in mice with tumour.Method:Sixty KM mice were divided into three groups: control group,yeast-selenium Ⅰ group and Ⅱgroup.The mice were supplemented with 0.5ml normal saline,3.2 ?g and 6.4 ?g yeast-selenium respectively by gavage on time a day based on the low selenium diet.The mice were inoculated with Ehrich ascites carcinoma(EAC) after 13 d.The tumour weight and immune function and antioxidative indices in blood were measured after 23 d.Results: The two yeast-selenium levels increased the activities of GSHPx(P