CAJ | 학술논문

目的探讨胰岛素泵在糖尿病患者围手术期的临床疗效.方法将74例外科手术糖尿病患者随机分为两组,对照组采用皮下注射胰岛素;治疗组皮下埋置胰岛素泵,持续注射基础胰岛素,三餐前追加剂量,观察两组FPG、2 h PG、胰岛素用量、住院时间、拆线时间等情况.结果治疗组住院时间、拆线时间均少于对照组,日胰岛素用量较对照组明显减少(P<0.01),治疗后血糖下降水平和稳定水平也优于对照组(P<0.05).结论糖尿病患者围手术期使用胰岛素泵可以明显降低血糖,减少患者的胰岛素注射量,缩短患者住院时间,加快伤口愈合.
목적탐토이도소빙재당뇨병환자위수술기적림상료효.방법장74예외과수술당뇨병환자수궤분위량조,대조조채용피하주사이도소;치료조피하매치이도소빙,지속주사기출이도소,삼찬전추가제량,관찰량조FPG、2 h PG、이도소용량、주원시간、탁선시간등정황.결과치료조주원시간、탁선시간균소우대조조,일이도소용량교대조조명현감소(P<0.01),치료후혈당하강수평화은정수평야우우대조조(P<0.05).결론당뇨병환자위수술기사용이도소빙가이명현강저혈당,감소환자적이도소주사량,축단환자주원시간,가쾌상구유합.
Objective Explore the clinical effect of insulin pumps in diabetic patients. Methods 169 cases of diabetic patients were randomly divided into treatment group and control group;in control group used subcutaneous injection insulin before meal;and treatment group were given constinuous insulin pump subcutaneous, comparing the level of FPG, 2 h PG, insulin dosage, the time of stay in hospital and stitches. Results Hospitalization and stitches time of treatment group is less than control group (P<0.01), insulin dosage is significantly reduced compared with the control group (P<0.05). Conclusion Perioperative diabetics using insulin pumps can significantly reduce the blood sugar and dosage of insulin, shorten the time of hospital,accelerate wound healing.