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目的:观察急诊危重症患者应用胰岛素强化治疗的临床疗效。方法:108例危重症患者分为胰岛素强化治疗组和常规治疗组,根据血糖水平不同予以不同的胰岛素输入速度。结果:胰岛素强化治疗组患者的ICU住院天数及病死率等与常规治疗组比较有统计学意义(P<0.05),低血糖发生率无统计学意义(P>0.05)。结论:根据患者血糖水平不同予以不同的胰岛素输入速度,不仅可有效控制高血糖,而且还可减少低血糖的发生。
Objective: To observe the clinical effect of intensive insulin therapy in emergency critical patients. Methods: 108 critically ill patients were divided into intensive insulin treatment group and conventional treatment group, according to the different blood glucose levels to be different insulin input speed. Results: The ICU length of hospital stay and mortality in patients receiving intensive insulin therapy were significantly higher than those in the conventional treatment group (P <0.05). The incidence of hypoglycemia was not statistically significant (P> 0.05). Conclusion: According to the different blood glucose levels in patients with different insulin input speed, not only can effectively control high blood sugar, but also reduce the incidence of hypoglycemia.