胰岛素泵治疗糖尿病酮症酸中毒疗效观察

Continuous subcutaneous insulin effect of the treatment of diabetic ketoacidosis.

目的观察用胰岛素泵持续皮下注射胰岛素(CSII)在糖尿病酮症酸中毒(DKA)治疗中的效果。方法将30例DKA患者分为A组置胰岛素泵,诺和灵R或赖脯胰岛素持续皮下泵入;B组用诺和灵R三餐前皮下注射、诺和灵N睡前皮下注射。观察两组治愈率、治疗前后血糖水平、住院时间、血糖达标所需时间、低血糖发生率。结果两组患者均有效。低血糖发生率、住院时间、血糖达标所需时间A组低于B组,差异有统计学意义。结论用胰岛素泵持续皮下注射胰岛素治疗糖尿病酮症酸中毒安全有效。

Objective To investigate continuous subcutaneous insulin in the treatment of the effect of DKA. Methods 30 cases of DKA patients were divided into group A of insulin pumps, continuous subcutaneous insulin Lai prolyl or spiritual R pumped into;group B with connaught and spiritual R subcutaneously before meals,eonnaught and spiritual N bedtime injection. The cure rate were observed, and blood glucose levels before and after treatment, hospitalization, blood glucose target tree, the incidence of hypoglycemia. Results The two groups of patients were effective. The incidence of hypoglycemia, hospitalization time, the time required for blood glucose target group A than in group B,there was significant dlfference. Conclusion Continuous subcutaneous insulin（CSⅡ）safe and effective for the treatment of DKA.