持续皮下注射胰岛素治疗糖尿病合并脑卒中临床78例剖析.docVIP

持续皮下注射胰岛素治疗糖尿病合并脑卒中临床78例剖析 　　[摘要] 目的 分析持续皮下注射胰岛素治疗糖尿病合并脑卒中临床效果。 方法 选取2012年4月～2015年6月我院收治的156例糖尿病合并脑卒中患者作为研究对象，按照随机数字表法分为参照组（予以胰岛素多次皮下注射治疗）和观察组（予以胰岛素泵持续皮下注射治疗），各78例，比较两组临床治疗效果。 结果 观察组并发症发生率明显低于参照组，差异有统计学意义（P0.05）；两组治疗2周后NIHSS评分进行比较，组间差异有统计学意义（P0.05）；两组患者治疗期间血糖达标时间、低血糖发生率以及血糖平均值比较，差异具有统计学意义（P0.05）。 结论 持续皮下注射胰岛素治疗糖尿病合并脑卒中临床疗效显著，安全性高，值得临床使用，具有积极的推广价值。 　　[关键词] 脑卒中；糖尿病；持续皮下注射胰岛素 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 2095-0616（2017）11-245-03 　　Clinical analysis on continuous subcutaneous insulin injection in treatment of diabetes complicated with cerebral stroke 　　LUO Aiguo 　　Baoan District Central Hospital of Shenzhen，Shenzhen 518128，China 　　[Abstract] Objective To analyze clinical effect of continuous subcutaneous insulin injection in treatment of diabetes complicated with cerebral stroke. Methods 156 patients with diabetes complicated with cerebral stroke who were admitted to our hospital from April 2012 to June 2015 were selected as research objects.According to lottery method，they were divided into the reference group（treated by multiple subcutaneous insulin injection） and the observation group（continuous subcutaneous insulin injection），with 78 in each.Clinical curative effects of two groups were compared. Results Complication rate of the observation group was significantly lower than that of the control group.The difference was statistically significant（P0.05）.Difference in NIHSS score of 2 weeks after treatment in two groups had statistical significance（P0.05）.During treatment，differences in time for reaching standard of blood glucose，incidence of hypoglycemia and mean value of blood glucose of patients in two groups had statistical significance （P0.05）. Conclusion Continuous subcutaneous insulin injection in treatment of diabetes complicated with cerebral stroke has a significant clinical curative effect.It is safe，which is worthy of clinical application.In addition，it is of positive value of promotion. 　　[Key words] Cerebral stroke；Diabetes；Continuous subcuta