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目的在新住院的糖尿病患者中,观察用胰岛素泵治疗和多次皮下注射胰岛素在血糖控制和依从性的差异。方法选择50例糖尿病患者,分为两组,每组各25例,其中一组应用精蛋白合成人胰岛素(诺和灵N)联合门冬胰岛素(诺和锐特充);另一组使用胰岛素泵持续皮下注射诺和锐。结果患者的8个点血糖(空腹血糖、午、晚餐前血糖、三餐后2h血糖、22:00和03:00血糖)均达到目标值,且胰岛素泵组最短血糖达标只需20h。结论这两种注射方法均能获得良好的血糖控制,但使用胰岛素泵的患者依从性更好。
Objective To investigate the differences in glycemic control and compliance between insulin pump therapy and multiple subcutaneous injections of insulin in new hospitalized patients with diabetes. Methods Fifty patients with diabetes mellitus were divided into two groups of 25 in each group. One group used protamine combined with insulin (Novolin N) and insulin aspart (Novo-Reiter), while the other group used insulin Pump continued subcutaneous injection promise and sharp. Results The patients’ blood glucose at 8 points (fasting blood glucose, blood glucose before lunch and dinner, blood sugar at 2h after 3 meals, blood sugar at 22:00 and 03:00) reached the target value, and the shortest blood glucose level in the insulin pump group only reached 20h. Conclusion Both of these injections achieved good glycemic control, but patients using insulin pumps had better adherence.