连续胰岛素输注对糖尿病合并重症肺炎患者的应用效果

Application Effect of Continuous Insulin Infusion on Diabetic Patients with Severe Pneumonia

目的探究在糖尿病合并重症肺炎患者中应用连续胰岛素输注法的影响效果。方法选取2019年3月—2021年12月厦门大学附属第一医院收治的100例糖尿病合并重症肺炎患者作为研究对象,在治疗重症肺炎的同时采用不同方法对患者的血糖水平进行控制,以随机法将患者分为对照组和研究组,各50例。研究组采用连续胰岛素输注法,对照组采用多次皮下胰岛素注射法,对比不同方法对患者胰岛素水平、并发症发生率的影响。结果治疗后,研究组患者的空腹血糖、糖化血红蛋白值分别为(6.22±2.11)mmol/L、(5.45±1.23)%,均比对照组各项血糖值低,差异有统计学意义(P<0.05)。研究组并发症发生率10.00%低于对照组,差异有统计学意义(P<0.05)。结论对糖尿病合并重症肺炎患者应用连续胰岛素输注法,可改善患者血糖水平,降低不良反应发生率,值得在临床治疗中开展应用。

Objective To explore the effect of continuous insulin infusion on patients with diabetes mellitus complicated by severe pneumonia.Methods Selected 100 patients with diabetes and severe pneumonia who were admitted to the First Affiliated Hospital of Xiamen University from March 2019 to December 2021 as the research subjects.Different methods were used to control the blood sugar level of the patients while treating severe pneumonia.Divided into control group and study group,50 cases in each group.The study group used continuous insulin infusion,and the control group used multiple subcutaneous insulin injections.The effects of different methods on insulin level and complication rate were analyzed.Results After treatment,the fasting blood glucose and glycosylated hemoglobin values of the study group were(6.22±2.11)mmol/L and(5.45±1.23)%,respectively,which were lower than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was10.00% lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The continuous insulin infusion method in patients with diabetes and severe pneumonia can improve the blood glucose level,and reduce the incidence of adverse reactions,which is worthy of application in clinical treatment.