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目的探讨胰岛素泵在2型糖尿病合并脑梗死患者中对血糖的控制效果及对预后的影响。方法选择49例2型糖尿病合并脑梗死患者,随机分成胰岛素泵治疗组和对照组,对照组采取原降糖方案,治疗2周,观察患者治疗前后空腹血糖、餐后血糖、神经功能评分。结果前者控制血糖更为迅速、理想。低血糖发生率小,神经功能评分改善更好。结论 2型糖尿病合并脑梗死患者应用胰岛素泵治疗效果更佳。
Objective To investigate the effect of insulin pump on blood glucose and its prognosis in type 2 diabetic patients with cerebral infarction. Methods Forty-nine patients with type 2 diabetes mellitus complicated with cerebral infarction were randomly divided into insulin pump control group and control group. The control group was given hypoglycemic regimen for 2 weeks. The fasting blood glucose, postprandial blood glucose and neurological function scores before and after treatment were observed. The former results in the control of blood glucose more quickly and ideally. Low incidence of hypoglycemia, neurological score improved better. Conclusion Type 2 diabetes with cerebral infarction patients treated with insulin pump better.