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微量泵缓慢注射胰岛素在高血糖患者中的治疗效果研究

Study on Therapeutic Effect of Slow Insulin Injection by Micropump in Hyperglycemia Patients
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摘要 目的:分析微量泵缓慢注射胰岛素在高血糖患者中的治疗效果。方法:选取2020年1-12月吉林市化工医院收治的145例高血糖患者,随机分为对照组和观察组,对照组72例,予以定时规律皮下胰岛素治疗,观察组73例,采用微量泵缓慢注射胰岛素治疗。对比两组血糖达标时间、低血糖发生率、钾离子紊乱发生率及观察组不良事件发生情况。结果:观察组血糖达标时间、低血糖发生率、钾离子紊乱发生率低于对照组,差异有统计学意义(P<0.05)。观察组发生静脉血回流入输液器4例,注射器阻塞7例、微量泵报警器故障10例,上述情况经快速处理均在1 min内解决。结论:微量泵缓慢注射胰岛素能够帮助高血糖患者控制血糖水平,且不良事件发生少,治疗效果显著。 Objective:To analyze the therapeutic effect of slow injection of insulin by micropump in patients with hyperglycemia.Methods:A total of 145 patients with hyperglycemia who were admitted to Jilin Chemical Industry Hospital from January 2020 to December 2020 were selected and randomly divided into control group and observation group.The 72 cases in control group were treated with regular subcutaneous insulin,and the 73 cases in observation group were treated with insulin slow injection by micropump.The time of blood glucose reaching the standard,the incidence of hypoglycemia,the incidence of potassium ion disorder between the two groups and the occurrence of adverse events in the observation group were compared.Results:The time of blood glucose reaching the standard,the incidence of hypoglycemia,and the incidence of potassium ion disorder in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).In the observation group,there were 4 cases of venous blood backflow into the infusion set,7 cases of syringe blockage,and 10 cases of micropump alarm failure,all of which were resolved within 1 minute after quick treatment.Conclusion:The slow injection of insulin by micropump can help patients with hyperglycemia to control blood glucose levels,with fewer adverse events and significant therapeutic effect.
作者 杨海波 宁磊 李宪 Yang Hai-bo;Ning Lei;Li Xian(Department of Endocrinology,Jilin Chemical Industry Hospital,Jilin 132021,Jilin Province,China)
出处 《中国社区医师》 2022年第23期13-15,共3页 Chinese Community Doctors
基金 吉林市医疗卫生指导性计划项目(编号:2021001311,2021001308)。
关键词 高血糖 胰岛素 静脉微量泵入 不良反应 Hyperglycemia Insulin Intravenous micropumping Adverse reactions
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