3C方案用于糖尿病患者围手术期疗效观察.docVIP

3C方案用于糖尿病患者围手术期疗效观察 　　【摘要】 目的：采用3C方案的实时动态胰岛素泵系统治疗围手术期糖尿病患者，观察其疗效，提高糖尿病患者围手术期的血糖综合管理水平。方法：选择2015年9月-2016年9月本院外科住院患者120例，均患有糖尿病。采用随机方法等分为3C组（采用实时动态胰岛素泵系统治疗）、单C组（采用单纯胰岛素泵治疗）、皮下注射组（采用多次皮下胰岛素注射治疗），各40例，观察三组治疗方法对糖尿病患者围手术期各项临床指标的影响。结果：治疗后，3C组的空腹血糖、餐后2 h血糖水平均优于单C组与皮下注射组，差异均有统计学意义（P0.05）。3C组的低血糖发生率为0，单C组与皮下注射组血糖低于3.9 mmol/L的AUC与3C组比较，差异均有统计学意义（P0.05）。3C组的血糖达标时间、住院时间均短于单C组与皮下注射组，差异均有统计学意义（P0.05）。3C组伤口感染发生率为0，与单C组、皮下注射组比较，差异均有统计学意义（P0.05）。结论：3C方案对糖尿病患者围手术期血糖治疗效果更佳，低血糖反应少，宜于临床推广应用。 　　【关键词】 3C方案； 糖尿病； 围手术期； 胰岛素 　　【Abstract】 Objective：To use the 3C therapy of real-time dynamic insulin pump system treatment of perioperative patients with diabetes，to observe the curative effect，improve diabetes perioperative blood glucose comprehensive management level.Method：120 patients with diabetes in our hospital from September 2015 to September 2016 were selected，according to different insulin injections，they were randomly divided into 3C group（used real-time dynamic insulin pump system），single C group（used insulin pump therapy）and subcutaneous injection group（used multiple subcutaneous insulin injection），40 cases in each group，the effects of three groups of treatment on the perioperative clinical indicators of patients with diabetes mellitus were observed.Result：After treatment，the FPG，2 h PG of 3C group，were better than the single C group and subcutaneous injection group，the differences were statistically significant（P0.05）.The incidence of hypoglycemia in the 3C group was 0，the the blood glucose below 3.9 mmol/L AUC in single C group and subcutaneous injection group compared with 3C group，the differences were statistically significant（P0.05）.The blood glucose standards time，hospitalization time in 3C group were shorter than those in single C group and subcutaneous injection group，the differences were statistically significant（P0.05）.The incidence of wound infection in group 3C was 0，compared with those in single C group and subcutaneous injection group，the differences were statisticall