摘要
目的:比较胰岛素泵(CSII)和多次皮下注射胰岛素(MSII)治疗围手术期2型糖尿病患者高血糖的疗效。方法:CSII组与MSII组患者各3O例,病例行配对选取,治疗前的基础状况基本一致,两组均行胰岛素强化治疗。比较两治疗组血糖达标情况下,术前空腹及餐后血糖达标所需时间,胰岛素剂量及低血糖事件的差异;术后禁食期(3天)平均血糖,低血糖事件的差异;及术后伤口愈合度,低血糖事件的差异。结论:两组治疗均能有效地控制高血糖,CSII组控制术前血糖的时间明显缩短,两组低血糖发生率差异无显著性;术后禁食期(3天)血糖平稳,低血糖事件少;及术后伤口愈合度高,低血糖事件少,血糖平稳。结论:CSII控制高血糖更迅速有效,安全,平稳,更有利于手术的及时实施及术后康复。
Objective:To compare the efficacy of improving glycemia control between the continuous subcutaneous insulin infusion (CSII) and multiple subcutaneous insulin injection(MSII) in treatment of patient with type 2 diabetes during perioperation. Methods:Sixty diabetic patients in perioperation who need insulin therapy were randomly divided into CSII group (n=30) and multiple subcutaneous insulin infusion (MSII) group (n=30). The time of blood glucose for achieving the target, total daily insulin requirement, and...
出处
《辽宁中医药大学学报》
CAS
2009年第2期100-101,共2页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
胰岛素泵
2型糖尿病
围手术期
Clinical observation of continuous subcutaneous insulin infusion (CSII)
Type 2 diabetes mellitus
Perioperation