胃癌合并糖尿病患者术后全胃肠外营养时胰岛素给药方法对血糖控制的观察

Observation of different infusion methods of insulin in TPN in gastric cancer patients with diabetes after operation

目的:探讨胃癌合并糖尿病患者术后给予全胃肠外营养(TPN)支持中,不同胰岛素给予途径对血糖的控制效果。方法:分析45例胃癌合并糖尿病患者术后TPN输注时,比较两种不同胰岛素使用方法对患者血糖浓度的影响。结果:实验组在术后3天的血糖控制、及血糖波动均较对照组效果好;促进患者伤口愈合,减少术后住院时间。结论:对于胃癌合并糖尿病患者术后使用TPN治疗时,通过微量泵泵入胰岛素易于调整胰岛素用量,能更加快速、平稳、理想的控制血糖。

Objective：To investigate the different result of blood glucose（BG） controlling in gastric cancer patients with diabetes who were offered TPN after operation.Methods： 45 patients were divided into two groups,the study group treated by insulin pump（insulin 50 IU ＋NS 50ml）,the control group treated with ordinary way（inject insulin into TPN solution directly）.Results： The patients in study group showed better result in BG controlling three days after operation.Conclusion： Micro pump can easy to control dose of insulin.So it can control BG rapidly and steady in gastric cancer patients with diabetes.