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回顾性分析28例1型糖尿病(T1DM)与24例2型糖尿病(T2DM)急重症患者的一般资料,起始治疗的胰岛素用量,出院时的胰岛素用量与血糖控制情况等资料。结果:52例DM患者的胰岛素起始平均用量为(0.6±0.2)U/kg,出院时平均用量为(0.7±0.2)U/kg,差异有统计学意义(P<0.05)。T1DM患者起始平均用量为(0.6±0.1)U/kg,T2DM患者起始平均用量为(0.5±0.2)U/kg,差异无统计学意义(P>0.05)。入院时平均空腹血糖(FPG)(15.8±6.4)mmol/L,出院时FPG(7.7±2.6)mmol/L,差异有统计学意义(P<0.05)。结论:糖尿病急重症患者胰岛素起始治疗的用量需加大,以利更好的血糖控制。
A retrospective analysis of 28 patients with type 1 diabetes mellitus (T1DM) and 24 patients with type 2 diabetes mellitus (T2DM) in critically ill patients with general information on the initial treatment of insulin dosage, the amount of insulin discharged at the time of blood glucose control and other information. Results: The mean initial insulin dosage was (0.6 ± 0.2) U / kg in 52 patients with DM and the average dosage was (0.7 ± 0.2) U / kg at discharge. The difference was statistically significant (P <0.05). The average initial dose of T1DM patients was (0.6 ± 0.1) U / kg, while the average initial dose of T2DM patients was (0.5 ± 0.2) U / kg, with no significant difference (P> 0.05). The average fasting blood glucose (FPG) at admission was (15.8 ± 6.4) mmol / L and FPG (7.7 ± 2.6) mmol / L at discharge. The difference was statistically significant (P <0.05). Conclusion: The dosage of insulin initial treatment in patients with diabetes mellitus should be increased to facilitate better blood sugar control.