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目的 :探讨动态血糖监测联合胰岛素泵应用于围手术期糖尿病患者血糖控制的效果。方法 :选取2011年1月至2013年2月我院收治的100例围手术期糖尿病患者,根据血糖监测方案不同分为2组,对照组采用每日8次血糖监测方案,观察组采取动态血糖监测,对2组患者动态血糖监测、输注胰岛素前和围手术期的各项数据进行统计分析。结果:动态血糖监测、输注胰岛素前2组患者的体质量指数、空腹血糖、2 h血浆葡萄糖及糖化血红蛋白水平差异无统计学意义(P>0.05),而在血糖达标时间、胰岛素用量、住院时间及术后并发症发生率对比上,动态血糖监测组均显著优于对照组,差异有统计学意义(P<0.05)。动态血糖监测组的血糖控制情况亦显著优于对照组,差异有统计学意义(P<0.05)。结论:动态血糖监测可提高围手术期糖尿病患者的血糖控制效果,缩短血糖达标时间和住院时间,减少胰岛素用量,可更好地控制术后并发症的发生,值得在临床上推广和应用。
Objective: To investigate the effect of dynamic glucose monitoring combined with insulin pump on glycemic control in perioperative diabetic patients. Methods: From January 2011 to February 2013, 100 cases of perioperative diabetic patients admitted to our hospital were divided into two groups according to the blood glucose monitoring program. The control group received 8 daily blood glucose monitoring programs. The observation group received dynamic glucose Monitoring, dynamic glucose monitoring in two groups of patients, pre-infusion of insulin and perioperative data for statistical analysis. Results: There was no significant difference in body mass index, fasting blood glucose, plasma glucose and glycosylated hemoglobin level between the two groups before and after insulin infusion (P> 0.05). However, there was no significant difference between the two groups in insulin fasting blood glucose monitoring, insulin dosage, Compared with the incidence of postoperative complications, the dynamic blood glucose monitoring group were significantly better than the control group, the difference was statistically significant (P <0.05). The blood glucose monitoring in the dynamic glucose monitoring group was also significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: Dynamic blood glucose monitoring can improve perioperative glycemic control in patients with diabetes mellitus, shorten the blood glucose compliance time and hospital stay, reduce insulin dosage, can better control postoperative complications, it is worth in the clinical promotion and application.