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目的:探讨胰岛素泵治疗糖尿病合并酮症(DK)的疗效。方法:将本院58例DK患者随机分为治疗组及对照组,对照组患者采用持续静滴胰岛素治疗,治疗组患者采用胰岛素泵治疗。结果:治疗组患者的血糖达标时间、尿酮转阴时间、胰岛素用量、低血糖发生率显著少于对照组,差异有统计学意义(P<0.05)。两组患者均无酮症反复。结论:胰岛素泵治疗糖尿病酮症是有效、安全的,能严格控制胰岛素的输入量及时间,使胰岛素的输入更接近人的生理分泌方式,能更好地纠正代谢紊乱,可缩短患者住院天数,减轻患者经济负担,值得临床普及推广应用。
Objective: To investigate the efficacy of insulin pump in the treatment of diabetic ketosis (DK). Methods: 58 patients with DK in our hospital were randomly divided into treatment group and control group. Patients in control group were treated with continuous intravenous infusion of insulin. Patients in treatment group were treated with insulin pump. Results: The patients in the treatment group had significantly lower glycemic control time, urinary ketone conversion time, insulin dosage, and incidence of hypoglycemia than those in the control group (P <0.05). Two groups of patients without ketosis repeated. Conclusion: Insulin pump is effective and safe for the treatment of diabetic ketosis. It can strictly control the input and time of insulin, make the input of insulin closer to the physiological secretion of human, can better correct the metabolic disorder, shorten the hospitalization days, Reduce the economic burden of patients, it is worth popularizing and popularizing the clinical application.