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目的：探索严重烧伤糖尿病患者快速控制血糖的新方法。方法：近年来我科收治此类病人共19例,其中10例行胰岛素泵连续皮下输注治疗(CSII组)；另9例采用多次皮下注射胰岛素治疗(MSII组),目标是将血糖基本控制在5～10mmol/L范围内。结果：CSII组与MSII组比较,前者血糖波动性小,低血糖发生率低,微粒皮存活率高,治愈时间明显缩短。结论：CSII法更有效控制严重烧伤糖尿病患者的血糖,提高植皮成活率。
Objective: To explore a new method for rapid blood glucose control in patients with severe burn diabetes. Methods: In recent years, 19 cases of this type of patients were treated in our department. Among them, 10 patients underwent continuous subcutaneous infusion of insulin pump (CSII group); the other 9 patients received multiple subcutaneous insulin injections (MSII group) Control in the 5 ~ 10mmol / L range. Results: Compared with MSII group, the former had less fluctuation of blood glucose, lower incidence of hypoglycemia, higher survival rate of microparticle skin and significantly shorter healing time. Conclusion: The CSII method is more effective in controlling blood sugar in severely burned diabetic patients and improves the skin graft survival rate.