论文部分内容阅读
目的:比较胰岛素泵(CSII)和多次皮下注射胰岛素(MSII)治疗围手术期2型糖尿病患者高血糖的疗效。方法:CSII组与MSII组患者各3O例,病例行配对选取,治疗前的基础状况基本一致,两组均行胰岛素强化治疗。比较两治疗组血糖达标情况下,术前空腹及餐后血糖达标所需时间,胰岛素剂量及低血糖事件的差异;术后禁食期(3天)平均血糖,低血糖事件的差异;及术后伤口愈合度,低血糖事件的差异。结论:两组治疗均能有效地控制高血糖,CSII组控制术前血糖的时间明显缩短,两组低血糖发生率差异无显著性;术后禁食期(3天)血糖平稳,低血糖事件少;及术后伤口愈合度高,低血糖事件少,血糖平稳。结论:CSII控制高血糖更迅速有效,安全,平稳,更有利于手术的及时实施及术后康复。
Objective: To compare the effects of insulin pump (CSII) and multiple subcutaneous injections of insulin (MSII) on hyperglycemia in patients with type 2 diabetes during perioperative period. Methods: 30 cases of CSII group and 30 cases of MSII group were selected. The patients were selected by paired comparisons. The basic condition before treatment was basically the same. Both groups were treated with intensive insulin therapy. The difference between the two groups before and after fasting, the dose of insulin and the incidence of hypoglycaemia, the differences of average blood glucose and hypoglycemia after fasting (3 days) After the degree of wound healing, differences in hypoglycemic events. Conclusion: The treatment of both groups can effectively control hyperglycemia. The duration of preoperative blood glucose control in CSII group was significantly shortened. There was no significant difference in the incidence of hypoglycemia between the two groups. The fasting blood glucose and the incidence of hypoglycaemia Less; and high degree of postoperative wound healing, less hypoglycemic events, stable blood glucose. Conclusion: The control of hyperglycemia by CSII is more effective, safe and stable. It is more conducive to the timely implementation of surgery and postoperative rehabilitation.