胰岛素泵应用在糖尿病治疗中对ICU重症患者治疗效果及血糖水平的影响分析

Analysis of the Effect of Insulin Pump in the Treatment of Diabetes on the Treatment Effect and Blood Glucose Level of Critically Ill Patients in ICU

目的探讨胰岛素泵应用在糖尿病治疗中对ICU重症患者治疗效果及血糖水平的影响。方法选取2020年9月—2021年9月42例院内有糖尿病的ICU重症患者,根据患者治疗指导方案差异分为常规组(21例,结合症状进行对症治疗,通过注射胰岛素控制血糖水平)与研究组(21例,对症治疗基础上应用胰岛素泵进行治疗)。比较两组患者血糖改善情况、治疗指标变化情况、应激水平变化与并发症发生率。结果研究组患者干预后FPG、2 hPG水平分别为(6.07±0.55)、(8.54±0.22)mmol/L低于常规组(7.32±0.37)、(9.67±0.35)mmol/L,差异有统计学意义(P<0.05);研究组胰岛素用量更少,血糖达标时间较短,炎性因子更低,差异有统计学意义(P<0.05);两组并发症发生率比较,差异有统计学意义(P<0.05)。结论在对患有糖尿病的ICU重症患者进行治疗干预时,使用胰岛素泵更有助于改善患者血糖水平,提高机体耐受能力,减轻ICU治疗产生的刺激影响。

Objective To investigate the effect of insulin pump application in the treatment of diabetes on the treatment effect and blood glucose level of critically ill patients in ICU.Methods From September 2020 to September 2021,42 critically ill ICU patients with diabetes in the hospital were selected and divided into routine group(21 cases,symptomatic treatment combined with symptoms,and blood sugar level control by insulin injection)and study group(21 cases,on the basis of symptomatic treatment,insulin pump was applied)according to the differences in patients'treatment guidelines.The improvement of blood sugar,the changes of treatment indicators,the changes of stress levels and the incidence of complications were compared between the two groups of patients.Results After intervention,the FPG and 2 hPG levels of the patients in the study group were(6.07±0.55)mmol/L and(8.54±0.22)mmol/L lower than those in the routine group(7.32±0.37)mmol/L and(9.67±0.35)mmol/L,respectively,the difference was statistically significant(P<0.05);the study group had less insulin dosage,shorter time to reach the blood glucose standard,and lower inflammatory factors,and the difference was statistically significant(P<0.05);there was a statistically significant difference in the incidence of complications between the two groups(P<0.05).Conclusion In the treatment and intervention of critically ill patients with diabetes in ICU,the use of insulin pump is more helpful to improve the blood glucose level of patients,improve the body's tolerance,and reduce the stimulation effect of ICU treatment.