胰岛素泵与常规胰岛素注射治疗糖尿病的疗效比较.docVIP

胰岛素泵与常规胰岛素注射治疗糖尿病的疗效比较 　　[摘要] 目的 比较胰岛素泵与常规胰岛素注射治疗糖尿病的疗效。 方法 选择2014年7月～2015年12月我院收治的100例糖尿病患者，随机分为观察组与对照组，对照组接受常规胰岛素注射治疗，观察组接受胰岛素泵治疗，比较两组患者餐后空腹血糖水平、2 h血糖水平、血糖达标时间、胰岛素用量、低血糖发生率及治疗满意度。结果 ①观察组患者餐后2 h血糖水平[（7.3±2.2）mmol/L]、空腹血糖水平[（6.4±1.4）mmol/L]显著优于对照组[（9.3±2.3）mmol/L、（9.6±1.6）mmol/L]，差异有统计学意义（P0.05）；观察组患者血糖达标时间[（6.6±1.2）d]、胰岛素用量[（32.0±1.2）U/d]均显著低于对照组[（10.4±2.8）d、（39.5±2.2）U/d]，差异有统计学意义（P0.05）。②观察组患者低血糖发生率（8.0%）显著低于对照组（26.0%），差异有统计学意义（P0.05）；③观察组患者治疗满意度为92.0%，对照组患者治疗满意度为74.0%，组间比较差异有统计学意义（P0.05）。 结论 与常规胰岛素注射治疗相比，胰岛素泵治疗糖尿病效果显著，值得临床推广。 　　[关键词] 糖尿病；胰岛素泵；常规胰岛素注射；血糖 　　[中图分类号] R587.1 [文献标识码] B [文章编号] 1673-9701（2016）23-0026-03 　　[Abstract] Objective To discuss effects of insulin pump and conventional insulin injection in treatment of diabetes mellitus. Methods 100 patients with diabetes treated in our hospital from July 2014 to December 2015 were selected and randomly divided into control group（conventional insulin injection） and observation group （insulin pump）. 2 h postprandial blood glucose level， fasting blood glucose level， control time of blood glucose， insulin dosage， incidence of hypoglycemia and treatment satisfaction were compared between two groups. Results ①The 2 h postprandial blood glucose level and fasting blood glucose level were significantly better in the observation group [（7.3±2.2） mmol/L and （6.4±1.4） mmol/L] than in the control group [（9.3±2.3） mmol/L and （9.6±1.6） mmol/L]， （P0.05）. The control time of blood glucose and insulin dosage were significantly shorter/lower in the observation group[（6.6±1.2） d and （32.0±1.2） U/d] than in the control group[（10.4±2.8） d and （39.5±2.2） U/d]， （P0.05）. ②The incidence of hypoglycemia was significantly lower in the observation group （8.0%） than in the control group （26.0%）， （P0.05）. ③The treatment satisfaction in the observation group was 92.0%， and 74.0% in the control group， showing significant difference（P0.05）. Conclusion When compared with conventional insulin injection， insulin pump has significant effect