CAJ | 학술논문

目的探讨胰岛素泵治疗老年2型糖尿病合并AECOPD患者疗效.方法将68例老年2型糖尿病合并AECOPD患者在AECOPD常规治疗的基础上随机分为胰岛素泵治疗组(A组)36例,口服降糖药治疗组(B组)32例.检测治疗前后血糖、C反应蛋白、血气分析结果,分别记录血糖、血气达标时间以及低血糖发生率并进行比较.结果A组与B组相比,血糖达标时间、平均住院时间均明显缩短(p<0.01),低血糖发生率低(p<0.01),C反应蛋白水平明显降低(p<0.05).结论胰岛素泵是治疗老年2型糖尿病合并AECOPD患者安全、有效的降糖措施,值得临床推广应用.
목적탐토이도소빙치료노년2형당뇨병합병AECOPD환자료효.방법장68례노년2형당뇨병합병AECOPD환자재AECOPD상규치료적기출상수궤분위이도소빙치료조(A조)36례,구복강당약치료조(B조)32례.검측치료전후혈당、C반응단백、혈기분석결과,분별기록혈당、혈기체표시간이급저혈당발생솔병진행비교.결과A조여B조상비,혈당체표시간、평균주원시간균명현축단(p<0.01),저혈당발생솔저(p<0.01),C반응단백수평명현강저(p<0.05).결론이도소빙시치료노년2형당뇨병합병AECOPD환자안전、유효적강당조시,치득림상추엄응용.
Objective To explore the efficacy in type 2 diabetic patients with AECOPD of insulin pump treatment in elderly. Method 68 patients with type 2 diabetes and AECOPD in the elderly with AECOPD based on conventional therapy were randomly divided into insulin pump therapy group (A)36 cases and oral hypoglycemic drug treatment group (B)32 cases. Measure and compare the following variables before and after treatment: Blood glucose C-reactive protein, blood gas analysis ,and record the time of blood glucose, blood gas to get standard, and the incidence of hypoglycemia. Result A group compare to B group, the blood glucose time, the average length of stay were significantly shorter (p <0.01);low incidence of hypoglycemia (p <0.01); C-reactive protein levels were significantly lower (p <0.05). Conclusion The efficacy of Insulin pump treatment of elderly type 2 diabetic patients with AECOPD is safe and effective, worthy of clinical application.