104例小儿糖尿病合并肺炎中临床疗效分析

104 Cases of Infantile Pneumonia in Diabetic Clinical Curative Effect Analysis

目的探讨和研究胰岛素泵用于治疗小儿糖尿病的合并肺炎病症当中的临床价值。方法将该院儿科2013年11月—2015年1月期间所收治的104例糖尿病的合并肺炎患儿,随机分成观察组(50例)以及对照组(54例),全部患者采取常规的抗感染治疗。与此同时,观察组的患儿持续采用泵入胰岛素的方式,对照组则采取在三餐以前作皮下肌注胰岛素的方式,观察对比两组患儿取得的临床疗效。结果经过一个疗程的治疗,对照组患者有22例患者病情基本恢复正常,21例患者症状出现好转,临床治疗的有效率为79.63%,而观察组显效与有效分别为31例和18例,临床有效率为98.00%,两组患者取得治疗数据差异有统计学意义(P<0.05,χ2=7.068)。结论对小儿糖尿病的合并肺炎患者,采用泵入胰岛素的方式来控制患儿血糖的水平,能够更好地提高临床治疗患儿糖尿病的效果,可以极大地改善糖尿病合并肺炎患儿的预后。

Objective To explore and research of insulin pump used in the treatment of pediatric diabetes merged pneumonia symptoms of clinical value. Methods Will be our hospital pediatric during November to January 2015, 2013 of 104 cases of diabetes treated by combined children with pneumonia, randomly divided into observation group （50 cases） and control group （54 cases）, all patients taking conventional anti-infective therapy. At the same time, the group of children continue to adopt the way of pumping insulin, control group patients were taken before meals for subcutaneous insulin injection way, contrast to observe the clinical efficacy of two groups of children. Results After a course of treatment, the control group 22 cases patient basic returned to normal, 21 cases of patients with symptoms improve, clinical effective rate was 79.63%, while the observation group powerfully and effectively 31 cases and 18 cases respectively, and the clinical effective rate was 98.00%, two groups of patients with the treatment data of differences, there are statistically significant （P〈0.05, X2=7.068）. Conclusion For the consolidation of pediatric diabetes patients with pneumonia, using pumping children with insulin to control blood sugar levels, and better able to improve the effect of clinical treatment of children with diabetes, can significantly improve the prognosis of pneumonia in children with diabetic.