中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
2期
164-165
,共2页
胆管炎%胰岛素输入系统%老年人
膽管炎%胰島素輸入繫統%老年人
담관염%이도소수입계통%노년인
Cholangitis%Insulin infusion%Aged
目的 探讨胰岛素强化治疗控制血糖对于老年糖尿病患者并急性梗阻性化脓性胆管炎治疗的临床意义.方法 将64例年龄≥70岁老年糖尿病并急性梗阻性化脓性胆管炎患者分成强化胰岛素治疗组(A组)和非强化治疗组(B组)各32例,A组通过胰岛素泵将目标血糖控制在4.4～6.1 mmol/L;B组当血糖＞11.1 mmol/L时使用胰岛素治疗并将目标血糖控制在10.0 mmol/L以下.观察两组APACHE Ⅱ评分变化情况、术后并发症发生情况及住院时间.结果 A组在术后第3天APACHE Ⅱ评分较入院时明显下降[(20.4±4.6)、(24.6±4.5)分,P＜0.01],A组术后并发症发生率明显低于B组(P＜0.05),A组平均住院时间明显短于B组[(16.5±7.6)、(21.4±8.7)d,P＜0.05].结论 强化胰岛素治疗控制血糖对于老年糖尿病并急性梗阻性化脓性胆管炎患者的临床治疗具有积极意义.
目的 探討胰島素彊化治療控製血糖對于老年糖尿病患者併急性梗阻性化膿性膽管炎治療的臨床意義.方法 將64例年齡≥70歲老年糖尿病併急性梗阻性化膿性膽管炎患者分成彊化胰島素治療組(A組)和非彊化治療組(B組)各32例,A組通過胰島素泵將目標血糖控製在4.4～6.1 mmol/L;B組噹血糖＞11.1 mmol/L時使用胰島素治療併將目標血糖控製在10.0 mmol/L以下.觀察兩組APACHE Ⅱ評分變化情況、術後併髮癥髮生情況及住院時間.結果 A組在術後第3天APACHE Ⅱ評分較入院時明顯下降[(20.4±4.6)、(24.6±4.5)分,P＜0.01],A組術後併髮癥髮生率明顯低于B組(P＜0.05),A組平均住院時間明顯短于B組[(16.5±7.6)、(21.4±8.7)d,P＜0.05].結論 彊化胰島素治療控製血糖對于老年糖尿病併急性梗阻性化膿性膽管炎患者的臨床治療具有積極意義.
목적 탐토이도소강화치료공제혈당대우노년당뇨병환자병급성경조성화농성담관염치료적림상의의.방법 장64례년령≥70세노년당뇨병병급성경조성화농성담관염환자분성강화이도소치료조(A조)화비강화치료조(B조)각32례,A조통과이도소빙장목표혈당공제재4.4～6.1 mmol/L;B조당혈당＞11.1 mmol/L시사용이도소치료병장목표혈당공제재10.0 mmol/L이하.관찰량조APACHE Ⅱ평분변화정황、술후병발증발생정황급주원시간.결과 A조재술후제3천APACHE Ⅱ평분교입원시명현하강[(20.4±4.6)、(24.6±4.5)분,P＜0.01],A조술후병발증발생솔명현저우B조(P＜0.05),A조평균주원시간명현단우B조[(16.5±7.6)、(21.4±8.7)d,P＜0.05].결론 강화이도소치료공제혈당대우노년당뇨병병급성경조성화농성담관염환자적림상치료구유적겁의의.
Objective To study the clinical effects of the intensive insulin therapy on diabetes with acute obstructive suppurative cholangitis in elderly patients.Methods Sixty-four patients aged over 70 were divided into two groups:group A(maintenance of blood glucose at a level between 4.4 and 6.1lmmol/L)and group B(maintenance of blood glucose at a level between 10.0 and 11.1mmol/L).Insulin was infused by micro-injection pump.The changes of APACHEII score postoperative complications,average length of stay in hospital and prognosis were observed.Results The average APACHEII score of group A was significantly decreased after 3rd day postoperation(P＜0.01).The average length of stay in hospital of group A was significantly shorter than that of group B(P＜0.05).The postoperative complications of group A were significantly decreased(P＜0.05).Conclusion Intensive insulin therapy contributes to the outcome of the elderly patients with acute obstructive suppurative cholangitis.
