肝源性糖尿病血糖控制应用甘精胰岛素治疗的效果观察.docVIP

精品论文 参考文献 肝源性糖尿病血糖控制应用甘精胰岛素治疗的效果观察 杨青 　　（金堂县第一人民医院 四川 成都 610400） 　　【摘要】 目的：分析研究肝源性糖尿病患者通过甘精胰岛素进行治疗对血糖的控制情况，为临床提供依据。方法：选取2014年1月到2015年1月通过甘精胰岛素控制血糖的肝源性糖尿病患者资料74例实施回顾性分析，记录患者空腹血糖、餐后2小时血糖和低血糖发生情况，对74例患者进行为期24周的随访，每间隔12周检测患者糖化血红蛋白1次，比较治疗之前以及治疗之后的空腹血糖、餐后2小时血糖以及糖化血红蛋白水平变化，将结果进行统计学分析。结果：治疗12周之后，患者的空腹血糖、餐后2小时血糖以及糖化血红蛋白水平与治疗之前比较显著降低（P＜0.05），具有统计学意义；治疗24周之后患者血糖和糖化血红蛋白和治疗12周比较没有显著差异（P＞0.05），不具有统计学意义；74例患者治疗过程中仅出现1例低血糖。结论：针对肝源性糖尿病患者通过甘精胰岛素进行血糖控制安全有效，应该在临床中大力推广使用。 　　【关键词】 肝源性糖尿病；甘精胰岛素；血糖 　　【中图分类号】R587.1 【文献标识码】A 【文章编号】2095-1752（2016）07-0013-02 　　The effect observation of using insulin to control blood sugar for treating liver source sex of diabetes Yang Qing, 　　TheFirst Peoples Hospital of Jintang County, Sichuan Province, Chengdu 610400. China 　　【Abstract】 Objective To study the control of blood glucose in patients with liver cirrhosis and to provide the basis for clinical treatment. Methods Data from 74 patients with hepatic diabetes mellitus who were treated with insulin and glucose in January 2015 to January 2014 were retrospectively analyzed. 74 patients were followed up for 24 weeks, and 1 times per week for 12 weeks. The changes of fasting blood glucose, blood glucose and glycosylated hemoglobin were compared before and after treatment. The results were statistically analyzed. Results After 12 weeks of treatment, patients with fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin levels were significantly lower than before treatment (Plt;0.05), with statistical significance; after 24 weeks of treatment, patients with blood glucose and glycosylated hemoglobin and treatment 12 weeks compared with no significant difference (Pgt;0.05), not statistically significant; 74 cases of patients treated with 1 cases of hypoglycemia. ConclusionIn The treatment of liver cirrhosis, the safe and effective blood glucose control in patients with liver cirrhosis should be promoted in clinical practice. 　　【Key words】Liver der