老年糖尿病病人胰岛素泵的临床应用及护理  

Clinical Application and Nursing of Insulin Pump for Elderly Diabetic

作　　者：张焰[1] 宋月琼[1] 李凤琼[1] 杨秀梅[1] 

机构地区：[1]四川省人民医院干部医疗科,四川成都610072

出　　处：《四川省卫生管理干部学院学报》2009年第2期195-197,共3页Journal of Sichuan Continuing Education College of Medical Sciences

摘　　要：目的：探讨胰岛素泵在老年糖尿病人中的临床应用。方法：回顾性分析2004年3月～2008年6月51例老年糖尿病人置入胰岛素泵前后的血糖控制情况。结果：51例病员置泵前后空腹与餐后2h血糖、血糖达标天数有明显差异（P〈0．05），低血糖和黎明现象的次数差异也有显著性。5例病员带泵出院，46例病员带泵一周至三周血糖控制良好，取泵后继续注射胰岛素治疗，随访3月-2年，血糖控制良好。结论：胰岛素泵体小巧，易携带，操作简便，老年糖尿病人置入胰岛素泵后血糖得到稳定和理想的控制，减少了夜间低血糖和黎明现象，血糖达标天数增加，是控制血糖的好方法。Objective： To discuss the clinical application of insulin pump in elderly diabetic. Methods： The condition of blood sugar control before and after the insertion of insulin pumps on 51 eases of elderly diabetic from Mar 2004 to Jun 2008 was retrospectively analyzed. Results： There had significant differences in fasting blood sugar, postprandial blood sugar, days of blood sugar hitting the target, attack of hypoglycemia and dawn phenomenon resulted from insulin pump（ P 〈 0.05）. There had 5 eases of patients discharged with insulin pumps. 46 eases suffered continuous insulin injections after being treated by insulin pumps for 1 to 3 weeks with well controlled blood sugar and kept in 3 months to 2 years follow-up. Conclusion： Insulin pump is tiny and easy to be carried and operated, which is a good way to control blood sugar well for the elderly diabetic.

关 键 词：老年糖尿病人 胰岛素泵 护理 

分 类 号：R47[医药卫生—护理学]