2型糖尿病肺部感染患者胰岛素不同方法治疗的疗效分析

The effect analysis of different uses of insulin in the treatment of long infected patients with type Ⅱ diabetes

目的探讨间隔与持续皮下注射胰岛素在2型糖尿病合并肺部感染患者治疗中的疗效,以提高治疗的效果。方法选取医院2012年1月-2013年7月收治的100例2型糖尿病合并肺部感染患者作为研究对象,并随机将其分为观察组和对照组,每组各50例,所有患者均进行常规治疗,在此基础上,观察组患者给予持续皮下注射胰岛素,对照组患者给予间隔注射胰岛素,比较两组患者临床治疗效果、临床症状改善情况、卫生经济学指标及胰岛β细胞功能水平之间的差异。结果患者痊愈率观察组为94.00%、对照组为78.00%,两组患者临床痊愈率比较,差异有统计学意义(P<0.05);观察组患者血糖达标、体温正常、白细胞正常、抗菌药物使用时间及住院天数均较对照组时间短,两组比较,差异有统计学意义(P<0.05);观察组患者医疗费用低于对照组,胰岛β细胞的功能水平较对照组高,差异有统计学意义(P<0.05)。结论持续皮下胰岛素注射,可以有效提高治疗2型糖尿病患者肺部感染的效果,快速改善患者临床症状,减轻患者医疗负担等,还可提高患者胰岛功能,增强自身机体对于血糖的调解能力。

OBJECTIVE To investigate the effect of continuous subcutaneous insulin infusion in the treatment in lung infected patients with type 2 diabetes so as to improve the efficacy .METHODS A total of 100 lung infected patients with diabetes admitted in our hospital from Jan .2012 to Jul .2013 were selected as study objects and divided into the observation group and control group with 50 cases each .The conventional treatment and nursing plan was used in all the patients .The continuous subcutaneous insulin infusion was used in the observation group , and the interval insulin infusion was used in the control group .The clinical effect ,clinical symptoms improve‐ment ,the health‐economic indicators and the function of βcells in the pancreas islet were compared between the two groups .RESULTS The cure rate in the observation group was 94 .00% ,and it was 78 .00% in the control group .The differences were significant （P〈0 .05） .Patients in the observation group had normal blood sugar level ,temperature ,white blood cell and compared to the observation group ,they had shorter time of using antibiotics and hospital stay .The differences were statistically significant （P〈0 .05） .The medical cost of the observation group was lower than that of the control group .The differences were significant （P〈0 .05） .And the function of βcells in the pancreas islet was better in the observation group than in the control group ,with statistical significance （P〈0 .05） .CONCLUSION Continuous subcutaneous insulin infusion can effectively improve the curative effect in the treatment of lung infected patients with type 2 diabetes and quickly improve clinical symptoms ,reduce medical costs ,enhance pancreas islets function and strengthen ability to regulate blood sugar .