胰岛素泵在2型糖尿病强化治疗中的临床观察和护理体会

Clinical observation and nursing care on patients with type 2 diabetes applied as continuous subcutaneous insulin infusion

目的:观察胰岛素泵和传统胰岛素皮下注射两种方法对2型糖尿病患者短期强化治疗中的血糖控制及胰岛素用量情况,探讨胰岛素泵使用过程中的护理问题。方法:116例2型糖尿病患者随机分成CSII组和MDII组,比较两组治疗前后空腹及餐后2h血糖、胰岛素用量、血糖达标时间及低血糖反应。结果:通过CSII和MDII,患者空腹及餐后2h血糖逐渐降低,但CSII胰岛素用量少、达标时间短,且低血糖发生率低。结论:胰岛素泵是2型糖尿病短期强化控制血糖的安全有效、简便可靠的手段。

Objective To compare the efficacy of subcutaneous continuous infusion of insulin （CSII） versus multipledaily insulin injection （MDII） in patients with type 2 diabetes by assessing 116 fasting blood glucose and daily insulin dosage, as well as to investigate the issues of nursing care during SCII. Method Hospitalized type 2 diabetic patients were randomly assigned to CSII and MDII . FBG and 2 hours post -meal BG were performed. The treatment days when blood glucose was well controlled and the insulin dosage at that time were observed. Results The values of BG and 2 hours post - meal BG decreased gradually, and no significant difference was found between group CSII and MDII. But the insulin doses necessary to maintain adequate blood glucose in group CSII were less than in group MDII, with a shorter treatment time and lower hypoglycaemia incidence rate. Conclusion CSII and MDII were comparable in rapidly improving hyper- glycaemia in uncontrolled type 2 diabetic patients. CSII, being more safe and convenient, could be preferred as a short - term intensive insulin therapy.