动态血糖监测联合胰岛素泵对2型糖尿病合并手外伤病人术后转归影响

Effect of dynamic blood glucose monitoring combined with insulin pump on the postoperative outcome of patients with type 2 diabetes and hand injury

目的 评价动态血糖监测联合胰岛素泵对2型糖尿病合并手外伤病人术后转归的影响。方法 选取2022年2月—2023年5月于我院进行手术治疗的80例2型糖尿病合并手外伤病人,随机分为观察组和对照组,每组40例。观察组给予动态血糖监测联合胰岛素泵的血糖监控方案,对照组采用传统床旁检测联合皮下多点注射胰岛素的血糖监控方案。比较两组病人的血糖水平、胰岛素注射量、餐后2 h血糖增幅(△2hPG),比较两组病人术后并发症的发生率以及对治疗方案和疗效的满意度。结果 观察组和对照组术后3 d的平均空腹血糖较术前下降(t=25.29、17.96,P<0.05)。观察组日均胰岛素注射量、餐后2 h血糖、△2hPG、低糖血症及伤口感染发生率均低于对照组(t=2.184~2.641,χ^(2)=3.953、3.681,P<0.05),病人满意度高于对照组(Z=2.699,P<0.05)。结论动态血糖监测联合胰岛素泵使用可有效监控2型糖尿病合并手外伤病人围手术期血糖,减少胰岛素用量,降低病人不良预后发生风险,提高病人生活质量。

Objective To investigate the effect of dynamic blood glucose monitoring combined with insulin pump on the postoperative outcome of patients with type 2 diabetes and hand injury.Methods A total of 80 patients with type 2 diabetes and hand injury who underwent surgical treatment in our hospital from February 2022 to May 2023 were enrolled and randomly divided into observation group and control group,with 40 patients in each group.The patients in the observation group were given the blood glucose monitoring regimen of dynamic blood glucose monitoring combined with insulin pump,and those in the control group were given the traditional blood glucose monitoring regimen of bedside monitoring combined with subcutaneous multi-point insulin injection.The two groups were compared in terms of blood glucose level,insulin injection volume,the increase in 2-hour postprandial blood glucose(△2hPG),the incidence rate of postoperative complications,and the degree of satisfaction with treatment regimen and outcome.Results Both the observation group and the control group had a significant reduction in mean fasting blood glucose on day 3 after surgery(t=25.29,17.96,P<0.05).Compared with the control group,the observation group had significantly lower daily meaninsulin injectionvolume,2hPG,△2hPG,and incidence rates of hypoglycemia and wound infection(t=2.184-2.641,χ^(2)=3.953,3.681,P<0.05),as well as a significantly higher degree of satisfaction(Z=2.699,P<0.05).Conclusion For patients with type 2 diabetes and hand injuries,the combination of dynamic blood glucose monitoring and insulin pump can effectively monitor perioperative blood glucose levels,reduce the amount of insulin used,alleviate the risk of poor prognosis,and improve quality of life.