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目的观察糖尿病合并胃癌围手术期患者应用胰岛素泵的治疗效果。方法 2004年1月-2010年12月收治的胃癌合并2型糖尿病患者86例,将患者随机分为常规组(A组)46例和胰岛素泵组(B组)40例,比较两组患者在血糖控制、手术并发症方面的差异。结果 B组与A组出院时,空腹血糖以及餐后血糖均能达标,但B组明显好于A组(P<0.05);B组胃排空障碍发生率降低(P<0.05)。结论胰岛素泵能更好地控制血糖、减少手术并发症的发生。
Objective To observe the therapeutic effect of insulin pump in perioperative patients with diabetes mellitus and gastric cancer. Methods From January 2004 to December 2010, 86 patients with gastric cancer and type 2 diabetes mellitus were enrolled. The patients were randomly divided into routine group (group A) 46 and insulin pump group 40 (group B) Blood glucose control, surgical complications. Results In group B and group A, both fasting blood glucose and postprandial blood glucose were up to standard at discharge, but group B was significantly better than group A (P <0.05). The incidence of gastric emptying disorder was lower in group B (P <0.05). Conclusion Insulin pump can better control blood sugar and reduce the incidence of surgical complications.