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2型糖尿病围手术期患者30例,随机分为两组,分别采用CSII和MSII治疗,根据血糖调整胰岛素用量,比较血糖水平、待手术时间、低血糖发生情况、住院天数和胰岛素用量。结果:治疗前空腹血糖(FPG)和餐后2小时血糖(2hpG)水平差异均不显著。治疗后两组各时点血糖均较治疗前显著下降。待手术时间和住院时间明显缩短,胰岛素用量减少。结论:CSII与MSII相比,明显缩短待手术时间、减少胰岛素用量及低血糖发生率,能平稳、迅速控制血糖,缩短住院日。
Thirty patients with perioperative type 2 diabetes mellitus were randomly divided into two groups. The patients were treated with CSII and MSII respectively. The amount of insulin was adjusted according to blood glucose level, blood glucose level, duration of operation, incidence of hypoglycemia, days of hospitalization and insulin dosage were compared. Results: There was no significant difference in fasting plasma glucose (FPG) and 2 hours postprandial blood glucose (2hpG) before treatment. After treatment, blood glucose in each group was significantly lower than before treatment. To be surgery and hospitalization time was significantly shorter, reduced insulin dosage. Conclusion: Compared with MSII, CSII significantly shortened the operation time, reduced the dosage of insulin and the incidence of hypoglycemia, stabilized the blood sugar quickly and shortened the hospitalization days.