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目的探讨胰岛素泵在2型糖尿病围手术期血糖中的临床应用。方法选取我院在2010年~2012年收治的2型糖尿病患者80例,将80例患者在自愿的情况下随机分为观察组和对照组,观察组应用胰岛素泵连续皮下输注,对照组采用多次皮下注射胰岛素的治疗方法,比较两组患者的围手术期疗效。结果两组患者在治疗后血糖的平均水平明显低于治疗前,且差异具有统计学意义P<0.05,两组患者在治疗后的术前、术中和术后平均血糖量无明显差异,且差异无统计学意义P>0.05;两组患者在达标时间、胰岛素用量及低血糖的反应次数方面,观察组均小于对照组,且差异具有统计学意义P<0.05;对于两组术后并发症的比较,观察组并发症的发生率明显小于对照组,且差异具有统计学意义P<0.05。结论应用胰岛素泵治疗2型糖尿病患者在围手术期具有很好的控制血糖疗效,且术后并发症少,值得临床推广。
Objective To investigate the clinical application of insulin pump in perioperative blood sugar of type 2 diabetes mellitus. Methods Eighty patients with type 2 diabetes treated in our hospital from 2010 to 2012 were enrolled. Eighty patients were randomly divided into observation group and control group on voluntary basis. The observation group was given continuous subcutaneous infusion of insulin pump and the control group Multiple subcutaneous injections of insulin treatment, perioperative efficacy of two groups were compared. Results The average blood glucose level after treatment in both groups was significantly lower than that before treatment, and the difference was statistically significant (P <0.05). There was no significant difference in mean blood glucose before, during and after treatment between two groups The difference was not statistically significant P> 0.05; two groups of patients in the compliance time, the amount of insulin and hypoglycemic response times, the observation group were smaller than the control group, and the difference was statistically significant P <0.05; for the two groups of postoperative complications The incidence of complications in the observation group was significantly less than that in the control group, and the difference was statistically significant (P <0.05). Conclusion The application of insulin pump in the treatment of type 2 diabetes mellitus has a good effect of controlling blood sugar during perioperative period, and less postoperative complications, which is worthy of clinical promotion.