胰岛素泵血糖控制对糖尿病合并肺心病老年患者康复的影响

Effect of Insulin Pump Blood Glucose Control on Rehabilitation of Elderly Patients with Diabetes and Pulmonary Heart Disease

目的探究在糖尿病合并肺心病老年患者康复过程中应用胰岛素泵控制血糖及其实施的临床效果。方法选择厦门市海沧医院2019年4月—2022年1月收治的100例糖尿病合并肺心病的老年患者为研究对象,将其随机分为两组,差异在于不同的血糖控制方法。研究组50例给予胰岛素泵注射,对照组50例给予多次皮下胰岛素注射。对比两组患者的血糖指标、体征恢复指标和不良反应发生率。结果治疗前,两组患者的各项血糖值均较高,对比差异无统计学意义(P>0.05);治疗后,研究组空腹血糖(6.21±1.00)mmol/L、餐后2 h血糖(9.15±1.65)mmol/L和糖化血红蛋白(7.34±0.86)%均低于对照组,差异有统计学意义(P<0.05)。研究组血压(145.34±8.44)mmHg、体温(36.23±3.54)℃和脉搏(98.12±3.21)次/min均优于对照组,差异有统计学意义(P<0.05)。研究组不良反应发生率为6.00%,少于对照组,差异有统计学意义(P<0.05)。结论在糖尿病合并肺心病老年患者康复中应用胰岛素泵,可有效控制患者血糖水平,改善各项体征,促进患者恢复,应用价值较高。

Objective To investigate the application of insulin pump to control blood glucose and its clinical effect in the rehabilitation of elderly patients with diabetes and pulmonary heart disease.Methods A total of 100 elderly patients with diabetes and pulmonary heart disease who were admitted to Xiamen Haicang Hospital from April 2019 to January 2022 were selected as the research subjects,and they were randomLy divided into two groups,the differences being in different blood sugar control methods.The 50 cases in the study group were given insulin pump injection,and the 50 cases in the control group were given multiple subcutaneous insulin injections.The blood glucose indexes,physical signs recovery indexes and the incidence of adverse reactions were compared between the two groups.Results Before treatment,the blood glucose levels of the two groups were higher,and the difference was not statistically significant(P>0.05);after treatment intervention,the fasting blood glucose(6.21±1.00)mmol/L,2 h postprandial blood glucose(9.15±1.65)mmol/L and glycosylated hemoglobin(7.34±0.86)%of the patients in the study group were all lower than those in the control group,and the difference was statistically significant(P<0.05).The blood pressure(145.34±8.44)mmHg,body temperature(36.23±3.54)℃and pulse(98.12±3.21)beats/min in the study group were all better than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 6.00%lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of insulin pump in the rehabilitation of elderly patients with diabetes and pulmonary heart disease can effectively control the blood glucose level of the patients,improve the physical signs of the patients,and promote the recovery of the patients,which has high application value.