糖尿病酮症酸中毒临床诊治体会

Clinical diagnosis and treatment of diabetic ketoacidosis

目的:分析、探讨糖尿病酮症酸中毒的临床诊治体会。方法:选取本院于2007年6月～2009年6月收治的糖尿病酮症酸中毒患者60例,其中30例采用常规治疗(对照组),30例采用胰岛素泵治疗(治疗组),比较两组的疗效。结果:糖尿病酮症酸中毒致病主要原因为感染,治疗组发生低血糖的人次和胰岛素用量显著少于对照组,P<0.05,但两组患者血糖达标和酮体消失的时间差异无统计学意义,P>0.05。结论:糖尿病酮症酸中毒容易发生并发症,易导致严重的代谢紊乱,严密观察病情及时应用胰岛素治疗,是抢救成功的关键。

Objective：To explore the clinical diagnosis and treatment of diabetic ketoacidosis.Methods：Slected our hospital in June 2007 to June 2009 treated 60 patients with diabetic ketoacidosis,in which 30 patients with conventional treatment（control group）,30 cases were treated with insulin pump therapy（treatment group）,comparing two group effect.Results：The main reason for the infection pathogenesis of diabetic ketoacidosis,hypoglycemia in the treatment group the number of times and the insulin dosage was significantly less than the control group,P0.05,but the two groups of patients with blood glucose and ketone bodies was no significant difference in time lost significance,P0.05.Conclusion：The complications of diabetic ketoacidosis prone,easily lead to serious metabolic disorders,observing closely and timely insulin treatment is the key to successful treatment.