微量泵持续泵入胰岛素用于治疗危重病人持续高血糖的疗效分析

Efficacy of Continuous Insulin Infusion with Micro Pump in the Treatment of Persistent Hyperglycemia in Critical Patients

目的探讨微量泵持续泵入胰岛素对治疗危重病人持续高血糖的效果。方法选取2018年6月至2019年6月在本院重症医学科住院治疗的危重患者共100例,所有患者伴有应激性高血糖症状,随机将其等分为对照组与观察组各50例,对照组采用常规静脉滴注胰岛素治疗,观察组采用微量泵持续泵入胰岛素治疗。比较两组患者治疗前后血糖水平、血糖水平达标时间、胰岛素用量以及低血糖发生率。结果两组患者治疗后血糖水平(空腹、餐后)均显著降低,但两组间比较差异无统计学意义(P>0.05)。观察组患者血糖水平达标时间及胰岛素用量明显低于对照组(P<0.05)。观察组患者低血糖发生率为2.0%,显著低于对照的10.0%(P<0.05)。结论微量泵持续泵入胰岛素对控制危重病人持续高血糖的效果明显,可有效促进患者预后,值得推广应用。

Objective To explore the effect of continuous insulin infusion by micro-pump in the treatment of persistent hyperglycemia in critical patients.Methods A total of 100 patients hospitalized in our hospital from June 2018 to June 2019 were selected,all patients were accompanied by irritability hyperglycemia,randomly divided into control group and observation group,50 cases in each group.The control group was treated with routine intravenous insulin infusion,and the observation group was treated with continuous infusion of insulin by micro pump.The blood glucose level,the blood glucose standard time,the dosage of insulin and the incidence of hypoglycemia were compared between the two groups.Results The blood glucose level(fasting and postprandial)of the two groups decreased significantly after treatment,but there was no significant difference between the two groups(P>0.05).The blood glucose standard time and insulin dosage in the observation group were significantly lower than those in the control group(P<0.05).The incidence of hypoglycemia in the observation group was 2.0%,significantly lower than that in the control group 10.0%(P<0.05).Conclusion Continuous infusion of insulin by micro pump has obvious effect on controlling persistent hyperglycemia in critical patients.It can effectively promote the prognosis of patients and is worthy of popularization and application.