论文部分内容阅读
目的研究胰岛素泵强化治疗糖尿病酮症酸中毒临床治疗效果,并与常规疗法比较。方法常规组和胰岛素泵组各43例糖尿病酮症酸中毒患者,其中常规组给以胰岛素静脉滴注治疗,胰岛素泵组给以相同剂量药物胰岛素泵治疗,评价临床疗效。结果两组患者平均空腹血糖、二氧化碳结合力较治疗前均存在明显差异性(P<0.05);胰岛素泵组轻中度、重度患者治疗有效率以及总有效率分别为100.00%、92.24%、97.67%,显著性高于常规组患者(P<0.05),血糖恢复、pH恢复、尿酮体呈阴性等各项指标改善时间以及药物用量均明显低于常规组(P<0.05);胰岛素泵组和常规组患者并发症率分别为2.33%、16.28%,存在显著性差异(P<0.05)。结论胰岛素泵强化疗法可显著性改善糖尿病酮症酸中毒患者各项指标恢复时间,降低用药量,并降低患者治疗期间、治疗后并发率症,可广泛应用于临床治疗。
Objective To study the clinical effect of insulin pump in the treatment of diabetic ketoacidosis and to compare with conventional therapy. Methods Forty-three patients with diabetic ketoacidosis were randomly divided into two groups: normal group and insulin pump group. Insulin pump group was given the same dose of insulin pump to evaluate the clinical effect. Results The average fasting blood glucose and carbon dioxide binding power of both groups were significantly different from those before treatment (P <0.05). The treatment efficiency and total effective rate of mild to moderate and severe insulin pump were 100.00%, 92.24% and 97.67 (P <0.05), the time of improvement of blood glucose recovery, the recovery of pH, the negative of urine ketone body, and the dosage of drugs were significantly lower than those in the conventional group (P <0.05) The complication rates were 2.33% and 16.28% respectively, there was a significant difference (P <0.05). Conclusion Insulin pump intensive therapy can significantly improve the recovery time of diabetic ketoacidosis patients indicators, reduce the dosage, and reduce the patients during treatment, post-treatment concomitant rate can be widely used in clinical treatment.