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目的:观察采用不同胰岛素类型及不同胰岛素强化治疗方案治疗糖尿病的疗效。方法:对48例糖尿病患者住院使用胰岛素强化治疗方案进行总结,其中13例采用胰岛素泵持续皮下注射治疗,35例采用速效胰岛素三餐前加甘精胰岛素或地特胰岛素睡前皮下注射,血糖达标后比较血糖达标时间及胰岛素使用总量等指标,并对结果进行分析。结果:两组患者均能使血糖达到良好控制,但胰岛素泵持续皮下注射治疗组血糖达标时间短于“三短一长”皮下注射治疗组,两组治疗均能使空腹和餐后血糖均控制在正常范围内,使用不同类型胰岛素治疗均能使血糖获得良好控制,胰岛素使用总量无明显差异。结论:对糖尿病患者,采用强化胰岛素治疗,均可使血糖获得良好控制。
Objective: To observe the effect of different insulin types and different insulin intensified treatment programs on diabetes mellitus. Methods: Forty-eight patients with diabetes mellitus were enrolled in this study. Among them, 13 cases were treated with continuous subcutaneous injection of insulin pump, 35 cases were treated with insulin fasting insulin plus insulin glargine or insulin injection at bedtime, After comparing the blood glucose standard time and the total amount of insulin and other indicators, and the results were analyzed. Results: The two groups of patients can achieve good control of blood glucose, but insulin pump continuous subcutaneous injection of blood glucose in treatment group shorter than the “three short one long” subcutaneous injection treatment group, both treatment can make fasting and postprandial blood glucose Are controlled within the normal range, the use of different types of insulin treatment can make blood sugar to get a good control, the total amount of insulin use no significant difference. Conclusion: For patients with diabetes, intensive insulin therapy, blood glucose can be well controlled.