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目的探讨胰岛素泵在治疗溃疡型糖尿病足感染中的临床效果。方法 68例溃疡型糖尿病足感染患者,随机将其分为对照组与观察组,各34例,其中对照组采用多次皮下注射胰岛素的方法 ,观察组采用胰岛素泵进行持续皮下输注的方法。对比两组疗效。结果经过治疗后,两组患者溃疡愈合情况较好,观察组血糖达标时间、平均住院时间分别为(3.2±1.0)d、(12.6±2.1)d,对照组的血糖达标时间、低血糖发生率分别为(6.5±1.5)d、(17.4±1.2)d,两组比较差异具有统计学意义(P<0.05);观察组低血糖发生率为8.82%(3/34),对照组低血糖发生率为32.35%(11/34),两组比较差异有统计学意义(P<0.05)。结论胰岛素多次皮下注射与胰岛素泵进行持续皮下输注都可以较好的治疗糖尿病足感染,而胰岛素泵进行持续皮下输注可以减少血糖达标时间和平均住院时间,减少黎明现象的发生率,治疗效果确切,值得临床推广使用。
Objective To investigate the clinical effect of insulin pump in the treatment of foot ulceration diabetic foot infections. Methods Sixty-eight patients with ulcer-type diabetic foot infections were randomly divided into control group and observation group, with 34 cases in each group. The control group received multiple subcutaneous injections of insulin and the observation group received sustained subcutaneous infusion with insulin pump. Compare two groups curative effect. Results After treatment, the ulcer healing was better in both groups. The observed time and average length of hospital stay in the observation group were (3.2 ± 1.0) days and (12.6 ± 2.1) days respectively. The control group’s blood glucose time, the incidence of hypoglycemia (P <0.05). The incidence of hypoglycemia in the observation group was 8.82% (3/34), while that in the control group was (6.5 ± 1.5) d and (17.4 ± 1.2) days, respectively The rate was 32.35% (11/34), the difference between the two groups was statistically significant (P <0.05). Conclusion Insulin subcutaneous injection and insulin pump sustained subcutaneous infusion can be a better treatment of diabetic foot infection, and insulin pump continuous subcutaneous infusion can reduce blood glucose compliance time and average length of stay, reduce the incidence of dawn, the treatment The exact effect, it is worth to promote clinical use.