胰岛素泵在糖尿病围手术期的应用和护理

Application and nursing of insulin pump on diabetes mellitus patient in perioperation period

目的 探讨胰岛素泵在糖尿病患者围手术期的应用及护理方法。方法 对80例围手术期2型糖尿病患者分别采用胰岛素泵连续皮下输注胰岛素(CSII)(n=42)和皮下多次注射胰岛素(MSII)(n=38)两种方法控制血糖,对比两组空腹血糖(FBG)、餐后2小时血糖(PBG2h)、血糖达标时间、胰岛素用量、低血糖发生率、切口感染率等指标。结果 两组治疗后血糖水平均较治疗前明显下降(P<0.05),但CSII组血糖控制优于MSII组(P<0.05)。在血糖达标时间、胰岛素用量、术后并发症发生情况等方面比较,两组差异均有统计学意义(P<0.05)。结论 通过规范化的护理,糖尿病患者围手术期采用胰岛素泵治疗安全、有效,能快速平衡降低血糖,缩短围手术期时间,帮助患者安全度过围手术期。

Objective To ivestigate the application and nursing methods of insulin pump on diabetes mellitus patient in perioperation period.Methods In perioperation period,42 diabetic patients were used continuous subcutaneous insulin injection（CSII） and 38 diabetic patients were used multiple subcutaneous insulin injection（MSII） to control Blood glucose.To contrast the fasting blood glucose（FBG）,2 hour postprandial blood glucose（PBG2h）,Glucose standard time,insulin dosage,incidence of hypoglycemia and incision infection rate between these two groups.Results After the treatment,the blood glucose level both were significantly decreased than before in two groups,but in CSII group the blood sugar control was better than that in MSII grou（pP0.05）.There were significantly differences in the aspects of Glucose standard time,insulin dosage,incidence of hypoglycemia and incision infection rate between these two groups（P0.05）.Conclusion The insulin pump could control the blood glucose effectively,safely,rapidly and smoothly,which guarantees the safety of operation while Standardization of nursing.It is the best choice to control the blood glucose for diabetics in perioperation period.