胰岛素泵与胰岛素持续静脉滴注治疗糖尿病酮症酸中毒效果及低血糖分析

Insulin Pump and Insulin Continuous Intravenous Drip in the Treatment of Diabetic Ketoacidosis and Hypoglycemia

目的探究胰岛素泵和胰岛素持续静脉滴注治疗糖尿病酮症酸中毒的治疗效果。方法2017年5月—2018年3月按照治疗的方式不同将60例患者分为观察组与对照组,观察组给予胰岛素泵持续输注胰岛素,对照组给予剂量较小的胰岛素静脉滴注。比较两组的血浆PH值恢复正常所需的时间、血糖达标时间、血酮转阴时间以及低血糖发生率的情况。结果观察组的血浆pH值恢复正常所需的时间、血糖达标时间、血酮转阴时间以及低血糖发生率都比对照组的时间短。结论胰岛素泵在治疗糖尿病酮症酸时能够促进血酮、血糖的恢复,并且较少引起低血糖的发生。

Objective To investigate the therapeutic effect of continuous intravenous infusion of insulin pump and insulin on diabetic ketoacidosis. Methods According to different treatment methods, a total of 60 patients from May 2017 to March 2018 were divided into observation group and control group. The observation group was given insulin pump for continuous infusion of insulin, and the control group was given intravenous drip with smaller dose. The time required for the plasma pH to return to normal, blood glucose compliance time, blood ketosis time, and the incidence of hypoglycemia were compared between the two groups. Results In the observation group, the time required for the plasma pH to return to normal, blood glucose compliance time, blood ketosis time, and the incidence of hypoglycemia were shorter than those in the control group. Conclusion Insulin pump can promote the recovery of blood ketone and blood sugar in the treatment of diabetic ketoacid, and less cause hypoglycemia.