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目的总结胰岛素泵持续皮下注射胰岛素(CSII),对2型糖尿病患者围术期血糖控制、并发症、伤口愈合情况。方法对40例患者,根据血糖及患者意愿,分为2组,A组采用CSII治疗,B组采用胰岛素多次皮下注射治疗(MSII),观察术前后血糖、并发症、伤口愈合情况。结果全部病例手术过程顺利,A组术前血糖达到良好控制时间较B组短,术中、术后血糖控制较B组平稳,全部病例无急性并发症发生,伤口愈合良好,A组愈合时间较B组短。结论胰岛素泵治疗是2型糖尿病患者围术期的首选方案。
Objective To summarize the perioperative blood glucose control, complications and wound healing of patients with type 2 diabetes mellitus (CSII) under continuous subcutaneous injection of insulin. Methods Forty patients were divided into two groups according to their blood glucose and patients’ wishes: group A was treated with CSII; group B was treated with multiple subcutaneous injections of insulin (MSII); and blood glucose, complications and wound healing were observed before and after operation. Results The operation procedure was smooth in all cases. The preoperative blood glucose control time in group A was shorter than that in group B. The intraoperative and postoperative blood glucose control was more stable than that in group B. No acute complications occurred in all cases, and the wound healing was better. The healing time in group A was longer Group B short. Conclusion Insulin pump treatment is the first choice for perioperative patients with type 2 diabetes mellitus.