CAJ | 학술논문

[目的]探讨胰岛素泵强化治疗患者发生低血糖的影响因素及预防措施.[方法]将我院自2008年10月至2011年10月收治的386例胰岛素泵强化治疗患者分为对照组(194例)和观察组(192例),其中观察组给予预防措施,对照组不给予预防措施,观察两组的低血糖发生率的差异.[结果]观察组的低血糖发生率(8.85％)明显低于对照组(15.98％),两组比较差异具有显著性(P＜0.05);在影响因素分析方面,观察组在胰岛素泵因素、运动饮食因素方面,发生率(0％,0％)明显低于对照组(29.03％,32.26％),两组比较差异具自显著性(P＜0.05);在病程及合并并发症因素方面,发生率两组比较差异不具有显著性(P＞0.05).[结论]影响低血糖发生率的因素较多,临床上应当采取针对性的预防措施,尽最大可能去避免不必要的因素的发生.
[목적]탐토이도소빙강화치료환자발생저혈당적영향인소급예방조시.[방법]장아원자2008년10월지2011년10월수치적386례이도소빙강화치료환자분위대조조(194례)화관찰조(192례),기중관찰조급여예방조시,대조조불급여예방조시,관찰량조적저혈당발생솔적차이.[결과]관찰조적저혈당발생솔(8.85％)명현저우대조조(15.98％),량조비교차이구유현저성(P＜0.05);재영향인소분석방면,관찰조재이도소빙인소、운동음식인소방면,발생솔(0％,0％)명현저우대조조(29.03％,32.26％),량조비교차이구자 현저성(P＜0.05);재병정급합병병발증인소방면,발생솔량조비교차이불구유현저성(P＞0.05).[결론]영향저혈당발생솔적인소교다,림상상응당채취침대성적예방조시,진최대가능거피면불필요적인소적발생.
[Objective]To investigate the factors and preventive measures of insulin pump treatment for the patients with hypoglycemia.[Methods]386 cases with insulin pump intensive therapy were admitted in our hospital from Octc ber 2008 to October 2011,they were randomly divided into control group (194 cases) and observation group (192cases),the observation group was treated with preventive measures while the control group was not given preventive measures,and the differences of the incidence of hypoglycemia in the two groups were observed.[Results]The incidence of hypoglycemia in the observation group was 8.85％ significantly lower than 1,that of the conrrol group (5.98％) (P＜ 0.05);in the impact factors,the incidence of the insulin pump and sports dietary in the observation group were 0％,significandy lower than 29.03％ and 32.26％ of the control group (P＜ 0.05); in the course of the disease and the combined factors of complications,there were no statistical differences between the two groups (P ＞ 0.05).[Conclusion]There are many factors affecting the incidences of hvpoglycemia,it should take targeted prevention measures in the clinical to avoid the unnecessary factors.