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目的:探讨赖脯胰岛素在儿童及青少年Ⅰ型糖尿病(T1DM)中的应用价值以及该类患儿的护理方法。方法:将我院2013年1~12月收治的121例T1DM患儿作为研究对象,随机分成对照组60例和观察组61例。对照组应用门冬胰岛素治疗,观察组应用赖脯胰岛素治疗,比较两组疗效与副反应。结果:两组治疗后用餐前后以及睡前的血糖、血糖达标所用时间、高低血糖发生次数,差异无统计学意义(P>0.05);观察组单位体重每天胰岛素剂量与费用明显较对照组低(P<0.05);观察组输注管路更换时间明显较对照组长(P<0.05);两组治疗全程输注管路注射部位均无皮肤发红、发炎等并发症状。结论:T1DM是一种严重威胁儿童身心健康的慢性代谢性疾病,临床将赖脯胰岛素应用于对患儿的治疗,并辅以健康教育与心理疏导等护理干预手段,其不但护理效果佳,而且治疗费低。
Objective: To investigate the value of insulin lispro in type 1 diabetes mellitus (T1DM) in children and adolescents and its nursing methods. Methods: A total of 121 T1DM children admitted from January 2013 to December 2013 in our hospital were randomly divided into control group (60 cases) and observation group (61 cases). Control group aspart insulin treatment, the observation group with insulin lispro treatment, the two groups were compared efficacy and side effects. Results: There was no significant difference between the two groups in the blood glucose before and after going to bed, the time before going to bed, the time for reaching the blood glucose level and the number of high and low blood sugar (P> 0.05). The daily insulin dosage and cost per unit body weight in the observation group were significantly lower than those in the control group P <0.05). The change time of infusion line in the observation group was significantly longer than that in the control group (P <0.05). No complications were found such as skin redness and inflammation in the injection site of the two groups. Conclusion: T1DM is a chronic metabolic disease that seriously threatens the physical and mental health of children. In clinical practice, insulin lispro is applied to the treatment of children with the help of nursing interventions such as health education and psychological counseling. It not only has good nursing effect, but also Low cost of treatment.