摘要
目的比较1型儿童糖尿病患儿应用胰岛素泵和微调注射器治疗的临床疗效。方法将我院收治的1型糖尿病患儿根据治疗方法不同分为胰岛素泵治疗组(n=13),微调注射器治疗组(n=29),以健康无糖尿病的儿童作为对照组(n=50)。治疗3个月后,比较两个治疗组患儿的FBG、2hPBG、HbA1c改变情况、低血糖发生例次、患儿接受程度、家长满意度,比较胰岛素泵和微调注射器对1型糖尿病患儿的综合疗效。结果两组患儿的空腹血糖合格率比较没有差异(P>0.05),餐后2 h血糖和糖化血红蛋白比较,胰岛素泵组优于微调注射器组(P<0.05);治疗期间不良反应发生率比较,胰岛素泵组少于微调注射器组(P<0.05);胰岛素泵组患儿愿意接受治疗的比例高于微调注射器组(P<0.05);家长满意度比较,胰岛素泵组高于微调注射器组(P<0.05)。结论胰岛素泵对于1型糖尿病患儿疗效显著,能够平稳降低血糖,使患儿的血糖水平全天保持平稳状态,且患儿接受能力强,家长使用方便。但胰岛素泵的应用费用相对较高,如果经济条件允许胰岛素泵是治疗1型糖尿病患儿的有效手段。
Objective To explore the treatment effects between insulin pumps and fine-tune syringe in diabetes children. Methods All 42 typeldiabetes mellitus children were divided into two groups. One was insulin pump group which had 13 cases, the other was fine-tune syringe group which had 29 cases. And took 50 healthy children as contral group. After 3 months, compared the curative effect between two groups on FBG and so on. Results There was no different between two groups on FBG（P 〉 0.05）. Fine-tune syringe group had a better effect on 2 h PBG and HbAlc（P 〈 0.05）. During treatment adverse reaction rates showed that insulin pump group was better than fine-tune syringe group （P 〈 0.05）. Parents of the insulin pump group had a better satisfaction. Conclusion Insulin pumps has better curative effect for type 1 diabetes mellitus children. But the cost of insulin pumps is relatively higher. If the economic conditions allowed, the insulin pump will be an effective means of treatment for type 1 diabetes mellitus children.
出处
《中国现代医生》
2012年第28期34-35,38,共3页
China Modern Doctor
