持续静脉应用胰岛素、胰岛素泵用于治疗糖尿病酮症酸中毒病患的临床效果分析

Clinical Effect Analysis of Continuous Intravenous Application of Insulin and Insulin Pump in the Treatment of Diabetic Ketoacidosis Patients

目的:调研和分析持续静脉应用胰岛素和胰岛素泵用于治疗糖尿病酮症酸中毒患者的临床效果。方法:选择2017年1月~2019年1月到本院糖尿病科接受治疗糖尿病酮症酸中毒的68例患者作为调研对象,以随机法分为对照组(34例)和观察组(34例)。其中,对照组患者接持续静脉应用胰岛素治疗,观察组患者接受胰岛素泵应用胰岛素治疗。观察并对比两组患者相关指标情况以及低血糖发生情况。结果:观察组患者的尿酮转阴时间、血糖达标时间、尿酮体消失时间、血浆pH值恢复正常时间明显短于对照组,胰岛素应用剂量少于对照组(P<0.05);观察组患者的低血糖发生率2.94%明显低于对照组14.71%(P<0.05)。结论:在糖尿病酮症酸中毒患者接受治疗的过程中,相比较于持续静脉应用胰岛素,胰岛素泵应用胰岛素的临床治疗效果较好。

Objective:To investigate and analyze the clinical effect of continuous intravenous application of insulin and insulin pump in the treatment of patients with diabetic ketoacidosis.Methods:From January 2017 to January 2019,68 patients who received treatment for diabetic ketoacidosis in the diabetes department of our hospital were selected as the research object..Among them,the patients in the control group received continuous intravenous insulin therapy,and the patients in the observation group received insulin therapy with insulin pump.Observe and compare the relevant indexes of the two groups of patients and the occurrence of hypoglycemia.Results:The urinary ketone turning negative time,blood glucose reaching standard time,urinary ketone body disappearing time,and plasma pH value of the observation group were significantly shorter than the control group,and the insulin dosage was less than the control group(P<0.05);The incidence rate was 2.94%,which was significantly lower than that of the control group,14.71%(P<0.05).Conclusion:During the treatment of patients with diabetic ketoacidosis,compared with continuous intravenous insulin application,the clinical treatment effect of insulin pump application of insulin is better,and it is worthy of popularization in clinical treatment.