微量泵与胰岛素泵序贯应用治疗糖尿病酮症酸中毒的疗效

Effect of Sequential Application of Micropump and Insulin Pump on Diabetic Ketoacidosis

目的观察微量泵与胰岛素泵序贯应用治疗糖尿病酮症酸中毒的疗效。方法选取2017年1月至2018年9月东莞市南城医院收治的糖尿病合并酮症酸中毒患者38例作为本次研究对象,采用抽签法随机分为对照组与观察组两组,每组19例。对照组患者采用微量泵进行治疗,观察组患者在对照组的基础上加用胰岛素泵序贯治疗。对比两组患者的尿酮体转阴时间、住院时间及在治疗过程中低血糖的发生率。结果观察组患者的尿酮体转阴时间及住院时间明显短于对照组患者,低血糖发生率明显低于对照组患者,两组比较差异具有统计学意义(P<0.05)。结论采用微量泵与胰岛素泵序贯治疗糖尿病酮症酸中毒效果显著。

Objective To study the effect of sequential application of micropump and insulin pump in the treatment of diabetic ketoacidosis.Methods Eighty patients with diabetes mellitus complicated with ketoacidosis admitted to our hospital from January 2018 to December 2018 were selected and randomly divided into control group and observation group by drawing lots,40 patients in each group.The control group were treated with micro-pump.The patients in observation group were treated with sequential insulin pump on the basis of control group.The urine of two groups was compared.The time of ketone body negative conversion,hospitalization time and the incidence of hypoglycemia in the course of treatment.Results The time of urinary ketone body negative conversion and hospitalization in the observation group were significantly shorter than those in the control group,and the incidence of hypoglycemia was significantly lower than that in the control group(P<0.05).Conclusion The sequential treatment of diabetic ketoacidosis with micropump and insulin pump is effective.