不同胰岛素注射方法治疗2型糖尿病并发感染临床疗效对比观察

Clinical Observation of Different Insulin Injection Methods in the Treatment of Type 2 Diabetes Complicated with Infection

目的研究不同胰岛素注射方法治疗2型糖尿病并发感染的临床疗效。方法该次纳入2018年7月—2019年6月期间该院收治的96例2型糖尿病并发感染患者展开研究,按照随机数字表法分为两组,对照组48例实施胰岛素三短一长法强化注射,观察组48例予以胰岛素泵持续皮下注射。将两组的临床疗效、治疗相关指标、并发症发生情况进行比对。结果观察组2型糖尿病并发感染患者的临床总有效率高于对照组(P<0.05);观察组患者治疗后的空腹血糖、餐后2 h血糖水平、血糖达标时间、胰岛素日用量、感染控制时间均优于对照组,并发症发生率低于对照组(P<0.05)。结论相较于胰岛素三短一长法强化注射法,胰岛素泵持续皮下注射治疗2型糖尿病并发感染患者更加安全有效,可促进血糖及感染控制效果的提升。

Objective To study the clinical efficacy of different insulin injection methods in the treatment of type 2 diabetes complicated with infection.Methods A total of 96 patients with type 2 diabetes and concurrent infections treated in our hospital from July 2018 to June 2019 were included in this study.They were divided into two groups according to the random number table method,and 48 patients in the control group were treated with insulin three short and one long intensive injection;and 48 patients in the observation group were given continuous subcutaneous injection with an insulin pump.The clinical efficacy,treatment-related indicators,and complications of the two groups were compared.Results The total clinical effective rate of patients with type 2 diabetes complicated with infection in the observation group was higher than that in the control group(P<0.05);the patients in the observation group had fasting blood glucose after treatment,2 h postprandial blood glucose level,blood glucose compliance time,daily insulin dosage,and infection control time were better than the control group,and the incidence of complications was lower than that of the control group(P<0.05).Conclusion Compared with the insulin three-short and one-length intensive injection method,continuous subcutaneous injection of insulin pump in the treatment of patients with type 2 diabetes complicated with infection is safer and more effective,and it can promote the improvement of blood glucose and infection control effect.