胰岛素泵强化治疗糖尿病酮症酸中毒疗效研究

Therapeutic Effect of Insulin Pump Intensive Treatment of Diabetic Ketoacidosis

目的探讨胰岛素泵强化治疗糖尿病酮症酸中毒的效果。方法选取2017年2月—2018年2月该院收治的糖尿病酮症酸中毒患者92例,随机分为2组各46例,观察组采用胰岛素泵强化治疗,对照组采用小剂量胰岛素静脉滴注治疗。结果观察组血糖达标时间、尿酮转阴时间、血酮恢复时间、p H值恢复正常时间均明显短于对照组(P<0.05);FPG、胰岛素用量及低血糖发生率均明显低于对照组(P<0.05)。结论胰岛素泵强化治疗糖尿病酮症酸中毒效果显著,能有效控制患者病情,缩短各项指标恢复时间,减少低血糖发生。

Objective To investigate the effect of intensive insulin pump on diabetic ketoacidosis. Methods A total of 92 patients with diabetic ketoacidosis admitted to the department from February 2017 to February 2018 were randomly divided into two groups： 46 patients. The observation group was treated with intensive insulin pump and the control group was treated with small dose of insulin. treatment. Results The blood glucose compliance time, urinary ketosis time, blood ketone recovery time and PH recovery time were significantly shorter in the observation group than in the control group（P〈0.05）.The incidence of FPG, insulin dosage and hypoglycemia were significantly lower than the control group（P〈0.05）. Conclusion Insulin pump intensive treatment of diabetic ketoacidosis is effective, can effectively control the patient＇s condition,shorten the recovery time of various indicators, and reduce the occurrence of hypoglycemia.