胰岛素泵与皮下注射胰岛素治疗糖尿病临床效果比较
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摘要
目的比较胰岛素泵与皮下注射胰岛素治疗糖尿病的效果。方法选取医院2015年7月-2018年5月收治的糖尿病患者78例,随机分为观察组与对照组各39例,观察组采用胰岛素泵治疗,对照组采用皮下注射胰岛素治疗,比较2组患者血糖控制情况及并发症发生情况。结果观察组平均胰岛素用量、空腹血糖均低于对照组,血糖达标时间短于对照组,差异均有统计学意义(P<0.05)。观察组酮症酸中毒与低血糖发生率低于对照组,差异均有统计学意义(P<0.05)。结论胰岛素泵治疗糖尿病能够加强血糖控制,降低并发症发生率,具有临床推广价值。
Objective To compare the effect of subcutaneous insulin injection and insulin pump in the clinical treatment of diabetes.Methods 78 patients with diabetes admitted to the hospital from July 2015 to May 2018 were selected,and they were randomly divided into observation group(39 cases)and control group(39 cases),the observation group was treated with an insulin pump,the control group was treated with subcutaneous injection of insulin,the blood glucose control and complications of the two groups were compared.Results The average insulin dosage and fasting blood glucose in the observation group were lower than the control group,and the blood glucose compliance time was shorter than the control group,and the differences were statistically significant(P<0.05).The incidence of ketoacidosis and hypoglycemia in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Insulin pump can strengthen blood glucose control and reduce the incidence of complications in the clinical treatment of diabetes.
Objective To compare the effect of subcutaneous insulin injection and insulin pump in the clinical treatment of diabetes.Methods 78 patients with diabetes admitted to the hospital from July 2015 to May 2018 were selected,and they were randomly divided into observation group(39 cases)and control group(39 cases),the observation group was treated with an insulin pump,the control group was treated with subcutaneous injection of insulin,the blood glucose control and complications of the two groups were compared.Results The average insulin dosage and fasting blood glucose in the observation group were lower than the control group,and the blood glucose compliance time was shorter than the control group,and the differences were statistically significant(P<0.05).The incidence of ketoacidosis and hypoglycemia in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Insulin pump can strengthen blood glucose control and reduce the incidence of complications in the clinical treatment of diabetes.
引文
[1] 姚奇棋,林国新,陈振新,等.胰岛素泵皮下注射和多次胰岛素皮下注射治疗妊娠期糖尿病疗效的比较[J].中国糖尿病杂志,2014,22(5):404-406.DOI:10.3969/j.issn.1006-6187.2014.05.007.
[2] 廖勇,邓春颖.胰岛素泵和多次胰岛素皮下注射治疗2型糖尿病的疗效比较[J].中外医学研究,2015,13(7):11-13.DOI:10.14033/j.cnki.cfmr.2015.07.005.
[3] 宋文春,戚蓓蓓,江冬梅.围术期糖尿病患者应用胰岛素泵与多次皮下注射胰岛素治疗的效果观察[J].临床医学,2013,33(11):39-40.DOI:10.3969/j.issn.1003-3548.2013.11.019.
[4] 田利.妊娠期糖尿病采用胰岛素泵皮下注射和多次胰岛素皮下注射治疗的临床价值解析[J].糖尿病新世界,2015(12):58-59.DOI:10.3969/j.issn.1672-4062.2015.12.030.
[5] 黄卫华,邱增新,曾鑫.胰岛素泵短期持续皮下注射胰岛素类似物对初诊2型糖尿病的临床疗效分析[J].中国药物经济学,2014(5):62-63.
[6] 林晨晓,邵瑜,阮海波,等.胰岛素泵皮下注射和多次胰岛素皮下注射在妊娠期糖尿病患者治疗中的临床疗效比较[J].医疗装备,2016,29(19):86-87.DOI:10.3969/j.issn.1002-2376.2016.19.057.
[7] 刘爱华,高贯斗.胰岛素泵与多次皮下注射胰岛素治疗对老年糖尿病患者围手术期的应用效果分析[J].中国医学创新,2018,15(7):39-42.DOI:10.3969/j.issn.1674-4985.2018.07.011.
[8] 陶黎莉.胰岛素泵强化治疗与胰岛素皮下注射治疗初发2型糖尿病的疗效分析[J].中国医疗器械信息,2016,22(14):82,94.DOI:10.3969/j.issn.1006-6586.2016.14.040.
[9] 梁学程,白桦.胰岛素泵治疗初发2型糖尿病的疗效分析[J].吉林医学,2013,34(17):3361-3362.DOI:10.3969/j.issn.1004-0412.2013.17.055.
[10] 韦保安,吕新明.初发2型糖尿病患者强化胰岛素治疗与多次胰岛素注射疗效对比研究[J].海南医学院学报,2013,19(10):1424-1427
[2] 廖勇,邓春颖.胰岛素泵和多次胰岛素皮下注射治疗2型糖尿病的疗效比较[J].中外医学研究,2015,13(7):11-13.DOI:10.14033/j.cnki.cfmr.2015.07.005.
[3] 宋文春,戚蓓蓓,江冬梅.围术期糖尿病患者应用胰岛素泵与多次皮下注射胰岛素治疗的效果观察[J].临床医学,2013,33(11):39-40.DOI:10.3969/j.issn.1003-3548.2013.11.019.
[4] 田利.妊娠期糖尿病采用胰岛素泵皮下注射和多次胰岛素皮下注射治疗的临床价值解析[J].糖尿病新世界,2015(12):58-59.DOI:10.3969/j.issn.1672-4062.2015.12.030.
[5] 黄卫华,邱增新,曾鑫.胰岛素泵短期持续皮下注射胰岛素类似物对初诊2型糖尿病的临床疗效分析[J].中国药物经济学,2014(5):62-63.
[6] 林晨晓,邵瑜,阮海波,等.胰岛素泵皮下注射和多次胰岛素皮下注射在妊娠期糖尿病患者治疗中的临床疗效比较[J].医疗装备,2016,29(19):86-87.DOI:10.3969/j.issn.1002-2376.2016.19.057.
[7] 刘爱华,高贯斗.胰岛素泵与多次皮下注射胰岛素治疗对老年糖尿病患者围手术期的应用效果分析[J].中国医学创新,2018,15(7):39-42.DOI:10.3969/j.issn.1674-4985.2018.07.011.
[8] 陶黎莉.胰岛素泵强化治疗与胰岛素皮下注射治疗初发2型糖尿病的疗效分析[J].中国医疗器械信息,2016,22(14):82,94.DOI:10.3969/j.issn.1006-6586.2016.14.040.
[9] 梁学程,白桦.胰岛素泵治疗初发2型糖尿病的疗效分析[J].吉林医学,2013,34(17):3361-3362.DOI:10.3969/j.issn.1004-0412.2013.17.055.
[10] 韦保安,吕新明.初发2型糖尿病患者强化胰岛素治疗与多次胰岛素注射疗效对比研究[J].海南医学院学报,2013,19(10):1424-1427