糖尿病合并上消化道出血的临床疗效分析

Analysis of the Clinical Therapeutic Effect of Diabetes with Upper Digestive Bleeding

目的分析糖尿病合并上消化道出血的临床疗效。方法将该院收治的82例糖尿病并上消化道出血患者分成常规组(n=40)、干预组(n=42),在常规治疗基础上,分别给予两组常规胰岛素治疗、甘精胰岛素治疗。结果两组紧急止血效果均良好;干预组1周后空腹血糖(6.18±1.22)mmHg及餐后2 h血糖水平(8.10±1.54)mmHg均低于常规组,差异有统计学意义(P<0.05);干预组低血糖发生率2.38%及半年内再出血率0.00%,均低于常规组,差异有统计学意义(P<0.05)。结论糖尿病并上消化道出血治疗中,常规治疗联合甘精胰岛素治疗可快速止血,并纠正患者的糖代谢紊乱机制。

Objective To analyze the treatment of diabetes with upper gastrointestinal tract. Methods The 82 diabetic patients with upper gastrointestinal bleeding admitted to the hospital were divided into a conventional group(n=42) and an intervention group(n=42). On the basis of conventional treatment, two groups were given conventional insulin treatment and insulin glargine treatment. Results Both groups had good emergency hemostasis effects;the fasting blood glucose(6.18 ±1.22) mmHg after 1 week in the intervention group and the blood glucose level(8.10±1.54) mmHg at 2 hours after a meal in the intervention group were lower than those in the routine group,the difference was statistically significant(P<0.05);the intervention group was hypoglycemic incidence rate was 2.38% and the rebleeding rate within half a year was 0.00%, both lower than the conventional group,the difference was statistically significant(P <0.05). Conclusion In the treatment of diabetes and upper gastrointestinal bleeding, conventional therapy combined with insulin glargine can quickly stop bleeding and correct the patient’s glucose metabolism disorder.