胰岛素泵在糖尿病患者围手术期的应用观察

The application of insulin pump in diabetic patients

目的评价胰岛素泵（CSⅡ）在糖尿病患者围手术期的应用效果与作用。方法糖尿病围手术期患者37例随机分为两组，19例采用胰岛素泵持续皮下注射（CSⅡ组），18例采用多次皮下注射（MSⅡ组）。比较血糖控制水平、术前准备时间、术后持续肠内营养时血糖控制水平、伤口愈合情况等。结果两组治疗前血糖水平差异无统计学意义（P〉0．5），治疗后血糖下降水平及血糖稳定水平CSⅡ组比MSⅡ组好，差异有统计学意义（P〈0．01）。CSⅡ组术前准备时间及住院时间明显缩短，术前、术后及术后肠内营养时血糖控制稳定，伤口愈合良好。结论胰岛素泵用于糖尿病患者围手术期的治疗是顺利手术、减少并发症、减少患者负担的有效方法。

Objective To evaluate the effect of insulin pumps in diabetic patients. Methods Perioperative 37 diabetic patients in our hospital were randomly divided into two groups;19 patients were given continuous insulin pump subcutaneously （ CS Ⅱ ） , 18 multiple subcutaneous injection （ MS Ⅱ） , comparing the level of blood sugar control, pre-operative time, control of blood sugar levels, wound healing, and so on, postoperative enteral nutrition. Results Two groups of blood glucose levels before treatment had no significant difference （ P 〉 0. 5 ）, after treatment the de- creased level of blood sugar and blood sugar level of stability in the CS Ⅱ group better than the MS Ⅱ group, the difference was significant（ P 〈 0. 01 ）. CS Ⅱ significantly shortened the pre-operative preparation time, before and after operation and postoperative enteral nutrltion,control of blood sugar stable, the wound healed well and shortened hospital stay. Conclusion Insulin pump is an effective manner in the perioperative treatment of diabetes for smoothing operation, reducing the burden on patients and complications.