院内糖尿病患者低血糖管理前馈控制的效果分析

Feed forward control of hypoglycemia management in diabetic patients

目的探讨前馈控制在院内糖尿病患者低血糖管理中的应用效果。 方法以2014年3月至2016年2月60例在院糖尿病患者为研究对象，全部患者均行常规降糖治疗，按照随机数字表法将入选病例均分为对照组和试验组各30例。对照组患者给予常规低血糖管理；试验组患者采用前馈控制进行低血糖管理。观察2组患者院内空腹血糖水平、院外糖化血红蛋白水平及低血糖发生次数。 结果院内降糖治疗和血糖控制管理后，试验组空腹血糖（5.8±0.6）mmol/L，院内降糖治疗与血糖控制管理结束3个月后，试验组糖化血红蛋白（6.6±0.5）%，对照组上述指标则分别为（6.7±0.8）mmol/L，（7.8 ± 0.7）%，2组比较差异有统计学意义（t=5.216、4.931，P〈0.05）。在院控糖期间，试验组发生低血糖1例次，对照组发生低血糖8例次，试验组低血糖发生数明显少于对照组,差异有统计学意义（χ2=7.105,P〈0.05）。 结论前馈控制在院内糖尿病患者低血糖管理中的应用可显著降低低血糖发生风险及严重程度，对提高患者自我血糖管理水平也具有积极作用，值得推广使用。

ObjectiveTo investigate the effect of feed forward control on hypoglycemia in patients with diabetes mellitus. Methodsfrom March 2014 to February 2016, 60 cases of diabetic patients in our hospital were studied. All patients were treated with routine hypoglycemic therapy. The patients were randomly divided into two groups. Control group 30 cases, patients with routine hypoglycemia management, test group 30 cases, patients with feed-forward control for hypoglycemia management. The fasting blood glucose levels, glycosylated hemoglobin levels and incidence of hypoglycemia in the two groups were observed. ResultsDuring the period of in-hospital hypoglycemic treatment and blood glucose control, fasting blood glucose test group （5.8 ± 0.6） mmol/L patients during hospital self management, glycosylated hemoglobin test group （6.6 ± 0.5）%, two indexes were better than the control group （6.7 ± 0.8） mmol/L, （7.8 ± 0.7）%, t=5.216, 4.931, P 〈 0.05. During the period of hospital sugar control, 1 cases of hypoglycemia occurred in the experimental group, 8 cases of hypoglycemia occurred in the control group, and the incidence of hypoglycemia in the experimental group was significantly less than that in the control group. ConclusionsThe application of feed forward control in the hospital management of hypoglycemia in diabetic patients can significantly reduce the risk of hypoglycemia and severity, but also plays a positive role in improving the self management of blood glucose level in patients, is worthy to be popularized.