胰岛素泵强化治疗Ⅱ型糖尿病患者疗效观察与护理体会

Observation on Therapeutic Effect of Insulin Pump in Treatment of Type Ⅱ Diabetic Patients and Its Nursing Experience

目的了解糖尿病患者运用胰岛素泵强化治疗的护理特点及观察其疗效。方法 89名Ⅱ型糖尿病人按自愿原则分为观察组49例即糖尿病强化治疗(CSII),对照组MSII(多次皮下注射)组40例,并对两组患者进行了系列心理、技术等综合方面的护理。结果观察组调整期空腹血糖浓度明显低于对照组,两者差异有统计学意义(t=5.96,P<0.05);胰岛素用量及血糖达标时间观察组明显少于对照组,两者差异有统计学意义(P<0.05)。低血糖发生率观察组明显低于对照组,两者差异有统计学意义(P<0.01)。结论胰岛素泵强化治疗能安全有效的控制血糖水平,综合护理是胰岛素泵强化治疗的有效保障。

Objective To observe the therapeutic effect and nursing care of type Ⅱ diabetic patients by insulin pump therapy.Methods Eighty-nine type Ⅱ diabetic patients were voluntarily divided into two groups：continuous subcutaneous insulin infusion （CSII） group （n=49） and multiple subcutaneous insulin infusion （MSII） group （n=40）.The patients of the two groups were given psychological,technical and other comprehensive care.Results The level of fasting glucose in adjustment period in CSII group was significantly lower than that in MSII group,and the difference was statistically significant （t=5.96,P〈0.05）.Insulin dosage and the time for controlling blood glucose in CSII group were significantly less than those of MSII group （P〈0.05）.The incidence rate of hypoglycemia in CSII group was significantly lower than that in MSII group,and the difference was statistically significant （P〈0.01）.Conclusions Insulin pump therapy can safely and effectively control blood glucose levels.Comprehensive care affords an effective guarantee for insulin pump therapy.