胰岛素泵强化疗法对改善糖尿病酮症酸中毒儿童临床症状、降低用药量及并发症发生率的效果

The Effect of Intensive Insulin Pump Therapy on Improving the Clinical Symptoms of Children with Diabetic Ketoacidosis,Reducing the Dosage and the Incidence of Complications

目的研究探讨对糖尿病酮症酸中毒(DKA)儿童使用胰岛素泵强化治疗方法的效果,主要包括临床症状、降低用药量以及并发症的发生率。方法选取该院于2019年1月—2021年4月收治的DKA患儿共62例,按照随机法分为两组,每组各31例,分别为一般组和研究组,其中一般组主要实施常规胰岛素静脉滴注治疗,研究组则实施胰岛素泵强化治疗,对比两组患儿的治疗效果。结果经过治疗之后,研究组患儿在临床症状上的治疗有效率明显高于一般组,差异有统计学意义(P<0.05),且在相关指标恢复时间、用药量以及并发症发生率明显低于一般组,差异有统计学意义(P<0.05)。结论胰岛素泵的强化治疗明显改善了糖尿病患儿所有指标的恢复时间,减少药物用量,降低治疗期间和治疗后的并发症概率,值得广泛推广使用。

Objective To study and explore the effect of intensive insulin pump therapy on children with diabetic ketoacidosis(DKA),including clinical symptoms,reduction in dosage and incidence of complications.Methods A total of 62 children with DKA in the hospital between January 2019 and April 2021 were selected,and they were divided into two groups according to the random method,each with 31 cases,namely the general group and the study group.The generol group was mainly treated with conventional insulin intravenous drip treatment,and the study group was treated with intensive insulin pump treatment.The treatment effects of the two groups were compared.Results After treatment,the effective rate of clinical symptoms in the study group was significantly higher than that of the general group,the difference was statistically significant(P<0.05).And the recovery time,dosage of medication and the probability of complications in related indicators were significantly lower than those in the general group,the difference was statistically significant(P<0.05).Conclusion The intensive treatment of insulin pump greatly improves the recovery time of all indicators of diabetic patients,reduces the dosage of drugs,and reduces the probability of complications during and after treatment.It is worthy of widespread use.