海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2001年
3期
2-3
,共2页
许少刚%高勇义%陈开宁%陈道雄
許少剛%高勇義%陳開寧%陳道雄
허소강%고용의%진개저%진도웅
胰岛素泵%血糖%胰岛素剂量%糖尿病强化治疗
胰島素泵%血糖%胰島素劑量%糖尿病彊化治療
이도소빙%혈당%이도소제량%당뇨병강화치료
目的 比较常规皮下注射胰岛素与胰岛素泵(Minimed507型)治疗2型糖尿病的差别。方法 对象为血糖控制不良，需要住院使用或调整胰岛素的糖尿病患者，进行自身前后对比研究。结果 胰岛素泵治疗达理想血糖控制所需的胰岛素量明显少于常规皮下注射胰岛素疗法(P＜0.05)，而控制血糖目标值无显著性差异(P＞0.05)，均未发现副作用。结论 胰岛素泵治疗能减少胰岛素用量，减少高胰岛素血症。其机制可能是增加外周组织对胰岛素的敏感性。胰岛素泵是安全、有效的糖尿病强化治疗手段。
目的 比較常規皮下註射胰島素與胰島素泵(Minimed507型)治療2型糖尿病的差彆。方法 對象為血糖控製不良，需要住院使用或調整胰島素的糖尿病患者，進行自身前後對比研究。結果 胰島素泵治療達理想血糖控製所需的胰島素量明顯少于常規皮下註射胰島素療法(P＜0.05)，而控製血糖目標值無顯著性差異(P＞0.05)，均未髮現副作用。結論 胰島素泵治療能減少胰島素用量，減少高胰島素血癥。其機製可能是增加外週組織對胰島素的敏感性。胰島素泵是安全、有效的糖尿病彊化治療手段。
목적 비교상규피하주사이도소여이도소빙(Minimed507형)치료2형당뇨병적차별。방법 대상위혈당공제불량，수요주원사용혹조정이도소적당뇨병환자，진행자신전후대비연구。결과 이도소빙치료체이상혈당공제소수적이도소량명현소우상규피하주사이도소요법(P＜0.05)，이공제혈당목표치무현저성차이(P＞0.05)，균미발현부작용。결론 이도소빙치료능감소이도소용량，감소고이도소혈증。기궤제가능시증가외주조직대이도소적민감성。이도소빙시안전、유효적당뇨병강화치료수단。
Objective To investingate the effective difference betw eenconventional insulin therapy and continuous insulin by insulin pump(MiniMed 507,made in US)in patients with type 2 diabetes. Method the effect o f the hospit alized patientswith type 2 diabetes,who had poor controlled blood glucose althou gh they had been treated,were compared by self-before and afterrial. Resul ts th e dosage of insulin pumping therapy are significantly lower(p＜0.05)than that of routine insulin therapy although both of the therapies to control blood glucose are not significantly different(p＞0.05).No side effects are found.Conclus ion in sulin pumping therapy decreased insulin dosang and reduced hyperinsulinimia of t he patients with 2 type diabetes.The possible mechanism of insulin pumping thera py is to increase insulin sensitivity of peripheral tissues.insulin pumping ther apy is a safe, effective therapeutic method as a intensive care.
