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对我院2013年3月至2015年3月神经内科住院病人40例糖尿病并急性脑卒中患者随机分为两组,观察组20例采用胰岛索泵持续胰岛素输注(CSII)和对照组20例多次皮下注射胰岛素(MSII),比较两种方法治疗前后空腹血糖、餐前血糖、餐后2小时血糖、达到理想控制所需时间及神经功能等指标,并对结果进行分析。结果观察组血糖控制达标时间为(1.3±0.4)周,对照组为(7.2±0.5)周,观察组与对照组都在使用胰岛素治疗12周后停药,评估神经功能有无明显改善,结果 (P﹤0.05)有统计学差异。结论糖尿病并脑卒中患者通过胰岛索泵强化治疗,可在短期内获得理想控制,缩短康复过程及减少病死率、致残率.此治疗方法可以作为糖尿病并脑卒中治疗的可行性方案。
Forty diabetic inpatients with acute stroke in our hospital from March 2013 to March 2015 were randomly divided into two groups. Twenty patients in the observation group were treated with continuous insulin infusion (CSII) and 20 in control group Multiple subcutaneous injections of insulin (MSII) were performed to compare the fasting blood glucose, fasting blood glucose, and 2-hour postprandial blood glucose before and after treatment. The time required for optimal control and neurological function were compared and the results were analyzed. Results The observed time of glycemic control in the observation group was (1.3 ± 0.4) weeks and in the control group (7.2 ± 0.5) weeks. The observation group and the control group were both stopped after 12 weeks of insulin treatment to evaluate whether the neurological function improved significantly. The results (P <0.05) with statistical difference. Conclusions Patients with diabetes mellitus and stroke through intensive treatment of islet pump can obtain ideal control in a short period of time, shorten the rehabilitation process and reduce mortality and morbidity. This treatment can be used as a feasible scheme for the treatment of diabetes mellitus and stroke.