胰岛素泵强化治疗2型糖尿病30例临床护理

Experience in nursing care of 30 patients with type 2 diabetes mellitus treated with intensive insulin pump therapy

目的:探讨胰岛素泵持续皮下胰岛素注射(CSⅡ)和多次皮下胰岛素注射(MDI)对2型糖尿病强化治疗的临床疗效及护理措施。方法:将60例2型糖尿病患者随机分为CSⅡ组和MDI组各30例,CSⅡ组采用胰岛素泵治疗,MDI组采用胰岛素笔治疗。比较两组血糖水平、血糖达标时间、胰岛素用量、低血糖发生率等情况。结果:CSII组在血糖达标时间、胰岛素用量及低血糖发生率方面与MDI组比较差异有显著性(P<0.05)。结论:CSⅡ更能有效地控制血糖,节省胰岛素用量,降低低血糖的发生率,减少和延缓慢性并发症,提高生活质量。

Abstract Objective： To explore the clinical effect of continuous subcutaneous insulin infusion（CSⅡ） and multiple daily injection （MDI） in the treatment of type 2 diabetes mellitus and nursing measures. Methods： 60 patients with type 2 diabetes mellitus were randomly divided into CSⅡ group and MDI group （30 cases for each group）. The patients in CSⅡ group were trea- ted with insulin pump therapy and the patients in MDI group were given insulin pens therapy. And blood glucose levels,the time needed to achieve good blood glucose control, insulin dosage and incidence of hypoglycemic episodes were compared between the two groups. Results ： There were significant differences in the comparison of the time needed to achieve good blood glucose control, insulin dosage and incidence of hypoglycemic episodes between CSⅡ group and MDI group （ P 〈 0.05 ）. Conclusion ： CSⅡ is more effective in controlling blood glucose, saving insulin dosage, reducing the incidence of hypoglycemic episodes, decreasing and delaying chronic complications and improving quality of life of the patients.