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目的探讨胰岛素泵在治疗老年2型糖尿痛合并肺部感染中的临床价值。方法选择我院2009年1 1月~2011年5月收治的老年2型糖尿病合并肺部感染患者83例,遵照患者知情同意原则分为两组,对照组40例采用胰岛素多次皮下注射法治疗,观察组43例采用胰岛素泵皮下连续注射法治疗,比较两组患者的临床应用情况。结果治疗后两组患者的血糖控制良好,观察组控制效果更佳,组间差异有统计学意义(P<0.05);观察组患者肺部感染的总有效率为97.7%,明显高于对照组的80.0%,组间差异有统计学意义(P<0.05);观察组患者的低血糖率为20.9%,明显低于对照组的42.5%,组间差异有统计学意义(P<0.05);观察组患者的住院时间为(9.2±1.0)d,明显短于对照组的(14.7±1.6)d,组间差异有统计学意义(P<0.05)。结论胰岛素泵治疗老年2型糖尿病合并肺部感染能够快速、明显地控制血糖,利于肺部感染的控制,促进患者康复。
Objective To investigate the clinical value of insulin pump in the treatment of elderly type 2 diabetic patients with pulmonary infection. Methods Eighty-three elderly patients with type 2 diabetes mellitus complicated with pulmonary infection admitted from January 2009 to May 2011 in our hospital were divided into two groups according to the principle of informed consent. Forty cases in the control group were treated with multiple subcutaneous injections of insulin , 43 cases in the observation group were treated by subcutaneous injection of insulin pump continuously, and the clinical application of the two groups were compared. Results After treatment, the two groups of patients had good glycemic control and better control effect in the observation group with statistically significant differences (P <0.05). The total effective rate of pulmonary infection in the observation group was 97.7%, which was significantly higher than that in the control group (P <0.05). The rate of hypoglycemia in observation group was 20.9%, which was significantly lower than that in control group (42.5%, P <0.05). The difference was statistically significant The length of hospital stay in observation group was (9.2 ± 1.0) days, which was significantly shorter than that in control group (14.7 ± 1.6) days. The difference between the two groups was statistically significant (P <0.05). Conclusion Insulin pump treatment of elderly type 2 diabetes with pulmonary infection can quickly and clearly control blood sugar, which is beneficial to the control of lung infection and promote the recovery of patients.