糖尿病常规治疗与胰岛素泵强化治疗及其护理的对比研究

A comparative study on treatment of diabetes by conventional and insulin pump and the difference of nursing

目的探究糖尿病常规治疗和强化治疗及其护理的临床疗效,为临床提供参考。方法选择2013年3月至2014年3月我院收治的84例2型糖尿病患者,随机分成两组,分别采用不同的治疗和护理方案,探讨常规治疗和强化治疗及其护理的临床疗效。结果治疗前,两组患者空腹血糖含量和Hb A1c水平差异无统计学意义(P>0.05);强化治疗组空腹血糖含量和Hb A1c水平均低于常规治疗组,差异有统计学意义(P<0.05);治疗期间,强化治疗组血糖达标时间(5.82±0.92)d和低血糖发生率(0.56±0.28)次/例均低于常规治疗组,差异有统计学意义(P<0.05);治疗1个月后,强化治疗组显效率为80.95%,常规治疗组为54.76%;强化治疗组总有效率为100%,常规治疗组为88.09%,两组比较差异有统计学意义(P<0.05);强化治疗组护理满意率和满意度评分均高于常规治疗组,差异有统计学意义(P<0.05)。结论胰岛素泵强化治疗能有效治疗2型糖尿病患者,而且具有时间短和副作用少的优点,值得临床推广。

Objective To explore the clinical curative effect of conventional therapy and intensive treatment of diabetes,and provide reference for clinical treatment. Methods Eighty four cases of type 2 diabetic patients treated in our hospital from March 2013 to March 2014 were selected as the objects. The patients were divided into two groups, and treated with different treatment and care programmes. The clinical curative effect of the treatment and nursing of conventional treatment and insulin pump was studied in this research. Results Before treatment, there was no significant difference between the two groups of fasting blood glucose level and the level of Hb A1c（P〉0.05）; fasting blood glucose and Hb A1 c levels of intensive treatment group were significantly lower than those of the conventional treatment group（P〈0.05）. During treatment,blood glucose standard time of intensive treatment group was（5.82±0.92）d and the occurrence the rate of hypoglycemia was（0.56±0.28） ever case which were significantly lower than that in conventional treatment group（P〈0.05）. After one months of treatment, the efficiency of the intensive treatment group was 80.95%,which was higher than 54.76% in conventional treatment group, total effective rate of 100% in the intensive treatment group was significantly higher than that of the conventional treatment group 88.09%（P〈0.05）. Nursing satisfaction rate and satisfaction scores of the intensive treatment group were significantly higher than that of the conventional treatment group, the difference was statistically significant（P〈0.05）. Conclusion intensive insulin pump therapy can effectively treat patients with type 2 diabetes, and has the advantages of short time and fewer side effects, and it is worth to be popularized.