胰岛素对糖尿病酮症酸中毒患者的急诊治疗探讨

Discussion on Emergency Treatment of Insulin for Patients with Diabetic Ketoacidosis

目的研究和分析胰岛素对糖尿病酮症酸中毒患者的急诊治疗效果。方法该次研究中重点分析了2018年10月-2020年11月期间该院60例糖尿病酮症酸中毒患者治疗资料,将患者随机性分成了对照组(n=30)和观察组(n=30),对照组患者采取常规性治疗方式,观察组患者在常规治疗基础上增加使用胰岛素进行治疗,对比两组患者的治疗效果、治疗满意度以及症状缓解时间。结果观察组患者治疗前空腹血糖(7.21±0.34)mmol/L、糖化血红蛋白(7.72±0.42)%与对照组(7.26±0.29)mmol/L(7.83±0.45)%,差异无统计学意义(t=0.613、0.979,P>0.05),观察组患者治疗后空腹血糖(5.71±0.24)mmol/L、糖化血红蛋白(5.68±0.39)%明显低于对照组(6.43±0.71)mmol/L、(6.78±0.52)%,差异有统计学意义(t=5.408、10.027,P<0.05);观察组患者实施治疗后总有效率97.67%显著高于对照组的73.33%,差异有统计学意义(χ^(2)=4.706,P<0.05);观察组患者治疗后满意度(100.00%)高于对照组患者(73.33%),差异有统计学意义(χ^(2)=7.067,P<0.05);观察组中患者的症状缓解时间(3.12±1.18)h短于对照组(4.35±1.27)h,差异有统计学意义(t=3.736,P<0.05)。结论在治疗糖尿病酮症酸中毒患者期间,对其采取胰岛素进行治疗具有极为显著的治疗效果,同时还可以显著缩短患者症状缓解时间,提升患者对于治疗工作的满意度。

Objective To study and analyze the emergency treatment effect of insulin on patients with diabetic ketoacidosis.Methods This study focused on the analysis of the treatment data of 60 patients who were treated for diabetic ketoacidosis in the hospital from October 2018 to November 2020.The patients were randomly divided into control group(n=30)and observation group(n=30),the patients in the control group were conventional treatments.The patients in the observation group used insulin on the basis of conventional treatment.Compared the treatment effect and treatment satisfaction and the time for symptom relief of the patients in the two groups.Results Before treatment,the fasting blood glucose(7.21±0.34)mmol/L,glycosylated hemoglobin(7.72±0.42)%of the observation group and(7.26±0.29)mmol/L,(7.83±0.45)%of the control group,the difference was not statistically significant(t=0.613,0.979,P>0.05),the fasting blood glucose(5.71±0.24)mmol/L and glycosylated hemoglobin(5.68±0.39)%of the observation group after treatment were significantly lower than those of the control group(6.43±0.71)mmol/L,(6.78±0.52)%,the difference was statistically significant(t=5.048,10.027,P<0.05);the total effective 97.67%of patients in the observation group after treatment was significantly higher than 73.33%in the control group,and the difference was statistically significant(χ^(2)=4.706,P<0.05);the satisfaction degree of patients in the observation group after treatment(100.00%)was higher than the control group 73.33%,and the difference was statistically significant(χ^(2)=7.067,P<0.05);the symptom relief time of the patients in the observation group(3.12±1.18)h was shorter the control group(4.35±1.27)h,and the difference was statistically significant(t=3.736,P<0.05).Conclusion During the treatment of patients with diabetic ketoacidosis,the use of insulin to treat them has a very significant therapeutic effect.At the same time,it can significantly shorten the time of symptom relief and improve patients'satisfaction with the treatment.