摘要
目的探究在糖尿病患者实施冠状动脉支架置入术的围术期期间将胰岛素泵进行应用的临床效果。方法选取2019年1月—2021年8月该院收治且准备接受冠状动脉支架置入术的100例糖尿病患者为研究对象,分为两组,每组50例。对照组给予常规干预,研究组在对照组基础上增加胰岛素泵的使用。对比两组患者围术期的血糖值、并发症发生率和再狭窄率。结果干预前,两组患者的各项血糖值均差异无统计学意义(P>0.05);干预后,两组患者的各项血糖值均得以降低,研究组患者的空腹血糖(6.56±0.34)mmol/L、餐后2 h血糖(9.03±1.23)mmol/L和糖化血红蛋白(5.00±0.33)%均比对照组低,差异有统计学意义(t=13.326、6.039、32.805,P<0.05)。研究组患者的并发症发生率为4.00%,再狭窄发生率为4.00%,均显著低于对照组,差异有统计学意义(χ^(2)=6.061、4.000,P<0.05)。结论在糖尿病患者冠状动脉支架置入术围术期中使用胰岛素泵,更有利于实现对患者血糖水平的控制,降低患者的不良反应发生率,促进患者恢复,意义显著。
Objective To explore the clinical effect of insulin pump application during the perioperative period of coronary stenting in diabetic patients.Methods A total of 100 diabetic patients who were admitted to the hospital from January 2019 to August 2021 and were going to undergo coronary stenting were selected as the research subjects,and divided into two groups with 50 cases in each group.The control group was given routine intervention,and the study group increased the use of insulin pump on the basis of the control group.The perioperative blood glucose levels,complication rates and restenosis rates were compared between the two groups.Results Before the intervention,there was no significant difference in the blood glucose values between the two groups(P>0.05).After the intervention,the blood glucose levels of the two groups were reduced.The fasting blood glucose(6.56±0.34)mmol/L,the 2 h postprandial blood glucose(9.03±1.23)mmol/L and the glycosylated hemoglobin(5.00±0.33)%of the study group were lower than those in the control group,and the difference was statistically significant(t=13.326,6.039,32.805,P<0.05).The incidence of complications in the study group was 4.00%,and the incidence of restenosis was 4.00%,which were significantly lower than those in the control group,the difference was statistically significant(χ^(2)=6.061,4.000,P<0.05).Conclusion The use of insulin pump in the perioperative period of coronary stent implantation in diabetic patients is more conducive to the control of blood sugar level,reduces the incidence of adverse reactions,and promotes the recovery of patients,which is of significant significance.
作者
陈晓娟
陈霞
郑娟
CHEN Xiaojuan;CHEN Xia;ZHENG Juan(Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)
出处
《糖尿病新世界》
2022年第6期31-34,共4页
Diabetes New World Magazine
作者简介
陈晓娟(1980-),女,本科,主管技师,主要从事心血管手术室的临床科研和教学工作。
