双C治疗联合超声引导下微波热消融术在2型糖尿病合并甲状腺良性肿瘤中的应用价值分析

Value Analysis of Double-C Therapy Combined with Ultrasound-Guided Microwave Thermal Ablation in Type 2 Diabetes Mellitus with Benign Thyroid Tumors

目的分析双C疗法联合超声引导下微波热消融术在2型糖尿病合并甲状腺良性肿瘤患者中的应用价值。方法回顾性选取2023年7月-2024年2月泉州市第一医院城东院区收治的90例行超声引导下微波热消融术的2型糖尿病合并甲状腺良性肿瘤患者的临床资料,采用持续皮下注射胰岛素联合超声引导下微波热消融术治疗45例患者为对照组,采用双C疗法联合超声引导下微波热消融术治疗45例患者为观察组。对比两组血糖水平、有效控制血糖时间、胰岛素使用剂量及并发症发生情况。结果入院前及治疗后两组各项血糖水平比较,差异无统计学意义(P均>0.05)。组内对比发现,治疗后两组各项血糖指标均低于入院前,差异有统计学意义(P均<0.05)。观察组有效控制血糖时间高于对照组,胰岛素使用剂量低于对照组,差异有统计学意义(P均<0.05)。观察组并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论双C疗法可显著提高血糖有效控制时间并降低胰岛素使用剂量,更加匹配患者治疗需求。

Objective To analyze the application value of double-C therapy ultrasound-guided microwave thermal ab-lation patients with type 2 diabetes mellitus complicated benign thyroid tumors.Methods The clinical data of 90 pa-tients with type 2 diabetes mellitus combined with benign thyroid tumor who underwent ultrasound-guided microwave thermal ablation were retrospectively selected from July 2023 to February 2024 in the East Campus of Quanzhou First Hospital.Forty-five patients were treated with continuous subcutaneous insulin injection combined with ultrasound-guided microwave thermal ablation as control group,and 45 patients were treated with double-C therapy combined with ultrasound-guided microwave thermal ablation as observation group.Blood glucose level,effective control time,insulin dosage and complications were compared between the two groups.Results There were no significant differ-ences in blood glucose levels between the two groups before admission and after treatment(all P>0.05).Intra-group comparison showed that all blood glucose indexes of the two groups after treatment were lower than those before admis-sion,and the differences were statistically significant(all P<0.05).The effective control time of blood glucose in the observation group was higher than that in the control group,and the dosage of insulin was lower than that in the con-trol group,and the differences were statistically significant(both P<0.05).The incidence of complications in observa-tion group was lower than that in control group,but the difference was not statistically significant(P>0.05).Conclusion Double C therapy can significantly increase the effective control time of blood glucose and reduce the dos-age of insulin,which is more suitable for patients'treatment needs.