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目的:观察胰岛素联合中医药急救治疗糖尿病酮症酸中毒的可行性及安全性.方法:将我院2012年3月～2015年3月收治的120例糖尿病酮症酸中毒患者随机分为观察组和对照组各60例,给予对照组患者常规西药胰岛素治疗;给予观察组患者在对照组治疗的基础上加用中医药治疗,并观察两组患者血糖达标、酮体转阴、酸中毒纠正时间以及治疗疗效与并发症发生率.结果:观察组患者血糖达标、酮体转阴、酸中毒纠正时间均显著低于对照组(P＜0.05);同时观察组患者血糖、钠、肌酐、尿素氮水平均显著低于对照组(P＜0.05),钾、CO2结合水平均显著高于对照组(P＜0.05);观察组患者治疗的总有效率为96.67％显著高于对照组的76.67％;观察组患者并发症发生率(1.67％)显著低于对照组(11.67％),两组比较差异有统计学意义(P＜0.05).结论:胰岛素联合中医药急救治疗糖尿病酮症酸中毒疗效确切,不仅能够降低患者并发症的发生率,还能有效改善患者的临床症状体征和预后状况,值得临床推广应用.“,”Objective:To analyze the feasibility and safety of insulin combining with Chinese medicine applying to diabetic ketoacidosis.Methods:From March 2012 to March 2015 in our hospital patients were treated 120 cases of diabetic ketoacidosis who were randomly divided into observation group and controlled group,60 patients in the controlled group of patients were given conventional insulin therapy medicine;The obserbation group was given TCM treatment on the basis of the controlled group.Two groups of patients were observed glucose standards,ketonuria,acidosis corrected time and therapy and the incidence of complications.Results:Blood glucose in patients in the observation group compliance,ketonuria,acidosis corrected time was significantly lower than the controlled group (P ＜ 0.05);While the average blood glucose was significantly lower in patients in the observation group,sodium,creatinine,blood urea nitrogen water control group,potassium,CO2 binding levels were significantly higher (P ＜ 0.05);The total effective rate of patients in the observation group was 96.67％,was significantly higher than the 76.67％;The incidence of complications in patients of the observation group (1.67％) was significantly lower than the controlled group (11.67％),the difference had a statistically meaning (P ＜ 0.05).Conclusion:Insulin combining with Chinese medicine applying to diabetic ketoacidosis can not only to reduce the incidence of complications in patients,but also effectively improve the clinical symptoms and signs and prognosis of the patient,which is worthy of clinical use.