糖尿病患者胰岛素泵强化治疗的规范化管理  

Standard Management of Intensive Treatment of Diabetic Patients with Insulin Pump

作　　者：宋开兰[1] 孙秋英[1] 卞丽香[1] 

机构地区：[1]山东大学附属省立医院内科,济南250021

出　　处：《解放军护理杂志》2009年第12期4-7,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨糖尿病患者胰岛素泵强化治疗规范化管理的有效性。方法选择山东省立医院内分泌病房2007年2月至2008年2月住院的60例糖尿病使用胰岛素泵患者,随机分为实验组和对照组各30例。实验组实施规范化管理方案,对照组给予常规护理。对两组患者进行血糖控制、用泵天数、胰岛素用量、低血糖发生、胰岛素泵相关故障及胰岛素泵知识、操作技能评价。结果两组患者血糖控制较强化治疗前明显改善,均可以控制血糖达标(P<0.01)。实验组比对照组更快达标(P<0.05),达标时早餐后2h及睡前血糖较对照组低(P<0.05)。实验组低血糖及黎明现象发生率较对照组明显降低(P<0.01);针头脱落、导管堵塞、注射部位皮肤感染及硬结、胰岛素泵机械或电子故障等发生率也较对照组明显降低(P<0.01)。两组患者胰岛素泵强化治疗知识及操作技能较治疗前明显提高,实验组掌握更好(P<0.05)。结论胰岛素泵强化治疗规范化管理能更有效地控制糖尿病患者的血糖水平,提高患者对胰岛素泵治疗的认可程度和依从性。Objective To explore the validity of standard management of intensive treatment of diabetic patients with insulin pump. Methods Sixty diabetic inpatients with insulin pump from Feb. 2007 to Feb. 2008 in Shandong provincial hospital were enrolled and equally divided into the experimental group and the control group at random. The patients in the experimental group were given standard management while the patients in the control group was given traditional nursing care. The data of blood glucose controlling,days of insulin pump utilisation,dose of insulin,hypoglycemic episodes, breakdown, knowledge, technique related insulin pump were evaluated. Results The blood glucose controlling was improved significantly in the two groups and both tallied with standards（P〈0. 01）. The time up to the standard of the blood glucose eontrolling in the experimental group was shorter than that in the experimental group（P〈0.05）. The blood glucose level was significantly lower in the experimental group than that in the control group 2h after breakfast and before bed when up to the standards（P〈0. 05）. The rates of hypoglyeemie episodes and dawn phenomenon were significantly lower in the experimental group than those in the control group（P〈0.01）. The occurrences of syringe needle fall, catheter blockage, skin infection and sclerosis in the injection area, breakdown related insulin pump were significantly lower in the experimental group than those in the control group（P〈0. 01）. The patients＇ theoretical and technical knowledge related insulin pump in the two groups were both increased than before,however,the knoweledge in the experimental group showed a much higher level than that of the control group （P〈0. 05）. Conclusion Standard management of intensive treatment with insulin pump can control blood glucose level more effectively, and improve pediatric patients＇ acknowledge and implication to insulin pump.

关 键 词：糖尿病 胰岛素泵强化治疗 规范化管理 

分 类 号：R587.1[医药卫生—内分泌]