当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
27期
67-68
,共2页
胰岛素泵%强化治疗%2型糖尿病%血糖指标
胰島素泵%彊化治療%2型糖尿病%血糖指標
이도소빙%강화치료%2형당뇨병%혈당지표
Insulin Pumppump%Intensive treatment%Type 2 diabetes mellitus%Glycemic index
目的：分析短期胰岛素泵强化治疗对初诊2型糖尿病患者血糖指标的影响。方法将江西省吉安市中心人民医院2012年8月～2013年4月接收的、初次诊断为2型糖尿病的56例患者随机均分为观察组和对照组(n=28)。观察组给予胰岛素泵强化治疗，对照组给予常规皮下注射治疗，比较治疗前后2组患者4项血糖指标的变化。结果2组患者治疗前空腹血糖（FBG）、餐后2h血糖值(2hPG)、糖化血红蛋白水平(HbA1c)、三酰甘油(TG)差异无统计学意义；治疗2周后，对照组患者FBG、2 hPG、HbA 1c、TG依次为（5.6±0.3）mmol/L、（9.8±1.2）mmol/L、（8.5±0.6）%、（1.1±0.2）mmol/L；观察组患者FBG、2 hPG、HbA 1c、TG依次为（10.6±0.9）mmol/L、（16.9±2.3）mmol/L、（10.7±0.3）%、（2.1±0.3）mmol/L，明显低于治疗前，差异有统计学意义（P<0.05）；且与对照组治疗后比较差异亦有统计学意义（P<0.05）。结论短期胰岛素泵强化治疗可以明显降低初诊2型糖尿病患者的FBG、2hPG、TG、HbA 1c，疗效良好。
目的：分析短期胰島素泵彊化治療對初診2型糖尿病患者血糖指標的影響。方法將江西省吉安市中心人民醫院2012年8月～2013年4月接收的、初次診斷為2型糖尿病的56例患者隨機均分為觀察組和對照組(n=28)。觀察組給予胰島素泵彊化治療，對照組給予常規皮下註射治療，比較治療前後2組患者4項血糖指標的變化。結果2組患者治療前空腹血糖（FBG）、餐後2h血糖值(2hPG)、糖化血紅蛋白水平(HbA1c)、三酰甘油(TG)差異無統計學意義；治療2週後，對照組患者FBG、2 hPG、HbA 1c、TG依次為（5.6±0.3）mmol/L、（9.8±1.2）mmol/L、（8.5±0.6）%、（1.1±0.2）mmol/L；觀察組患者FBG、2 hPG、HbA 1c、TG依次為（10.6±0.9）mmol/L、（16.9±2.3）mmol/L、（10.7±0.3）%、（2.1±0.3）mmol/L，明顯低于治療前，差異有統計學意義（P<0.05）；且與對照組治療後比較差異亦有統計學意義（P<0.05）。結論短期胰島素泵彊化治療可以明顯降低初診2型糖尿病患者的FBG、2hPG、TG、HbA 1c，療效良好。
목적：분석단기이도소빙강화치료대초진2형당뇨병환자혈당지표적영향。방법장강서성길안시중심인민의원2012년8월～2013년4월접수적、초차진단위2형당뇨병적56례환자수궤균분위관찰조화대조조(n=28)。관찰조급여이도소빙강화치료，대조조급여상규피하주사치료，비교치료전후2조환자4항혈당지표적변화。결과2조환자치료전공복혈당（FBG）、찬후2h혈당치(2hPG)、당화혈홍단백수평(HbA1c)、삼선감유(TG)차이무통계학의의；치료2주후，대조조환자FBG、2 hPG、HbA 1c、TG의차위（5.6±0.3）mmol/L、（9.8±1.2）mmol/L、（8.5±0.6）%、（1.1±0.2）mmol/L；관찰조환자FBG、2 hPG、HbA 1c、TG의차위（10.6±0.9）mmol/L、（16.9±2.3）mmol/L、（10.7±0.3）%、（2.1±0.3）mmol/L，명현저우치료전，차이유통계학의의（P<0.05）；차여대조조치료후비교차이역유통계학의의（P<0.05）。결론단기이도소빙강화치료가이명현강저초진2형당뇨병환자적FBG、2hPG、TG、HbA 1c，료효량호。
Objective To analyze the effect of short-term intensive treatment with insulin pump on glycemic index of patients with newly diagnosed type 2 diabetes mellitus.Methods Fifty-six patients with diabetes mellitus treated in our hospital from August 2012 to April 2013 were randomly divided into observation group and control group. Patients of the observation group were given short-term intensive treatment with insulin pump for two weeks and the control group were given conventional subcutaneous injection. Before and after treatment, FBG, 2hPG, TG, HbA1c of two groups were compared.Results Two groups of patients before fasting blood glucose (FBG), 2 h postprandial blood glucose values (2 HPG), glycosylated hemoglobin (HbA1c), three acyl glycerin (TG) there was no statistically significant difference; 2 weeks after treatment, the control group patients FBG, TG 2 HPG, HbA1c, followed by (5.6±0.3) (tendency/L), (9.8±1.2) (tendency/L), (8.5±0.6) %, (1.1±0.2) (tendency for L); Observation group of patients with FBG, TG 2 HPG, HbA1c, followed by (10.6±0.9)tendency/L, (16.9±2.3) tendency/L, (10.7±0.3) %, (2.1±0.3) tendency/L, signiifcantly lower than before the treatment, the difference was statistically signiifcant (P < 0.05); And compared with the control group after treatment differences are statistically signiifcant (P < 0.05).Conclusion The short-term intensive treatment with insulin pump can signiifcantly reduce FBG, 2hPG, TG, HbA1c of patients with newly diagnosed type 2 diabetes mellitus, and the clinical effect is good, worthy of clinical popularization and application.
