糖尿病患者围手术期使用胰岛素泵强化治疗效果分析

Effect analysis of insulin pump intensive treatment in perioperative patients with diabetes

目的分析糖尿病患者围手术期使用胰岛素泵调节血糖的临床疗效。方法选择91例明确诊断的2型糖尿病患者,均准备行相关手术治疗,随机分成观察组(46例)与对照组(45例),观察组选用胰岛素泵持续皮下注射胰岛素治疗,对照组选用多点皮下注射胰岛素治疗。比较两组在治疗后各项临床指标的差异。结果两组患者的血糖值均达到手术标准,观察组患者血糖控制以及治疗效果更加理想,两组差异有统计学意义(P<0.05)。观察组调节血糖所需治疗费用略高于对照组,差异有统计学意义(P<0.05)。结论对于2型糖尿病血糖控制不佳的患者在围手术期选用胰岛素泵调节血糖,治疗效果更优,具有独特的临床优势。

Objective To investigate the clinical efficacy of using an insulin pump to regulate blood sugar in perioperative diabetic patients. Methods Ninety-one cases of diagnosed type 2 diabetes were selected,ready to row-related surgery,and were randomly divided into observation group(46 cases)and control group(45 cases). Observation group chose insulin pump continuous subcutaneous insulin ther-apy,while control group was performed with more subcutaneous injections of insulin therapy. The clinical parameters between the two groups after treatment were compared. Results Blood glucose levels in two groups of patients reached the standard in surgery,but blood glucose controls and treatment of patients in the observation group were more desirable,and the difference between two groups had statistically signifi-cant difference(P < 0. 05). The treatment cost in regulating blood sugar in the observation group was slightly higher than that of the control group,and the difference was statistically significant(P < 0. 05). Conclusion For type 2 diabetes patients with poorly glycemic control during surgery,selection of insulin pump in regulating blood sugar has better therapeutic effect with unique clinical advantages.