论文部分内容阅读
目的分析短期胰岛素泵强化治疗对初诊2型糖尿病患者血糖指标的影响。方法选择盐亭县人民医院2013年6月至2014年6月接收的、初次诊断为2型糖尿病患者60例,随机均分为观察组和对照组(n=30)。观察组给予胰岛素泵强化治疗,对照组给予常规皮下注射治疗,比较治疗前后2组患者4项血糖指标的变化。结果 2组患者治疗前空腹血糖(FBG)、餐后2 h血糖值(2hPG)、糖化血红蛋白水平(HbA1c)、三酰甘油(TG)差异无统计学意义;治疗2周后,对照组患者FBG、2hPG、HbA1c、TG依次为(5.6±0.3)mmol/L、(9.8±1.2)mmol/L、(8.5±0.6)%、(1.1±0.2)mmol/L;观察组患者FBG、2hPG、HbA1c、TG依次为(10.6±0.9)mmol/L、(16.9±2.3)mmol/L、(10.7±0.3)%、(2.1±0.3)mmol/L,明显低于治疗前,差异有统计学意义(P<0.05);且与对照组治疗后比较差异亦有统计学意义(P<0.05)。结论短期胰岛素泵强化治疗可以明显降低初诊2型糖尿病患者的FBG、2hPG、TG、HbA1c,疗效良好。
Objective To analyze the effect of short-term insulin pump intensive treatment on newly diagnosed type 2 diabetes patients with glycemic index. Methods Sixty patients with initial diagnosis of type 2 diabetes in Yanting People’s Hospital from June 2013 to June 2014 were randomly divided into observation group and control group (n = 30). The observation group was given insulin pump intensive treatment, the control group was given conventional subcutaneous injection therapy, comparing two groups before and after treatment of four blood glucose changes. Results There was no significant difference in fasting blood glucose (FBG), 2hPG, HbA1c and triglyceride (TG) between the two groups before treatment. After 2 weeks of treatment, FBG (5.6 ± 0.3) mmol / L, (9.8 ± 1.2) mmol / L, (8.5 ± 0.6)% and (1.1 ± 0.2) mmol / L respectively in the two groups. The FBG, 2hPG, HbA1c , TG were (10.6 ± 0.9) mmol / L, (16.9 ± 2.3) mmol / L, (10.7 ± 0.3)%, (2.1 ± 0.3) mmol / L respectively, which were significantly lower than those before treatment P <0.05). There was also a significant difference compared with the control group after treatment (P <0.05). Conclusion Short-term intensive insulin treatment can significantly reduce the newly diagnosed type 2 diabetes patients FBG, 2hPG, TG, HbA1c, good effect.