CAJ | 학술논문

目的：评价胰岛素泵皮下输注胰岛素和静脉连续输注胰岛素治疗糖尿病酮症酸中毒的疗效差异。方法选取2012年6月—2014年6月在该院就诊的糖尿病酮症酸中毒患者48例，随机分为两组，胰岛素泵治疗组24例，采用皮下胰岛素泵注射治疗；常规治疗组24例，采用常规小剂量胰岛素静脉滴注；结果两组治疗后血糖均明显下降，胰岛素泵治疗组血糖达标时间短，血酮体消失快，低血糖人均次数少，两组均无死亡病例。结论胰岛素泵的应用充分实现胰岛素的个体化，能更快、更有效地纠正代谢紊乱、控制高血糖、提高生活质量。
목적：평개이도소빙피하수주이도소화정맥련속수주이도소치료당뇨병동증산중독적료효차이。방법선취2012년6월—2014년6월재해원취진적당뇨병동증산중독환자48례，수궤분위량조，이도소빙치료조24례，채용피하이도소빙주사치료；상규치료조24례，채용상규소제량이도소정맥적주；결과량조치료후혈당균명현하강，이도소빙치료조혈당체표시간단，혈동체소실쾌，저혈당인균차수소，량조균무사망병례。결론이도소빙적응용충분실현이도소적개체화，능경쾌、경유효지규정대사문란、공제고혈당、제고생활질량。
Objective To evaluate the insulin pump continuous subcutaneous insulin infusion and vein infusion curative ef-fects of insulin treatment of diabetic ketoacidosis. Methods From June 2012 to June 2012 in our hospital clinic of 48 pa-tients with diabetic ketoacidosis, randomly divided into two groups, the insulin pump treatment group 24 cases, the subcuta-neous injections of insulin pump therapy;Conventional treatment group 24 cases, the conventional small doses of insulin in-travenous drip. Results Two groups of blood glucose were significantly decreased after treatment, the insulin pump treatment group blood glucose control is at target time is short, the blood ketone body disappear fast, low per capita less, two groups had no deaths. Conclusion The application of insulin pump fully realize the individualization of insulin, faster and more ef-fective to correct metabolic disorder, control blood sugar, improve the quality of life.