2型糖尿病并骨折患者围手术期胰岛素泵输注诺和锐的临床观察(附40例报告)  

作　　者：匡锡友 

机构地区：[1]湖南桂阳县第一人民医院内分泌科,424400

出　　处：《中国社区医师（医学专业）》2011年第9期67-68,共2页

摘　　要：目的:探讨2型糖尿病并骨折患者围手术期胰岛素泵输注诺和锐控制高血糖的疗效。方法:40例患者随机分为CSⅡ组与MSⅡ组(各20例),均行手术内固定术,围手术期CSⅡ组应用诺和锐,MSⅡ组诺和灵R,比较两者血糖控制情况,等待手术时间,低血糖发生率。结果:两组治疗均能控制高血糖,CSⅡ组控制高血糖效果更佳(P<0.01),缩短调整时间,降低低血糖发生率。结论:胰岛素泵持续皮下注射诺和锐能迅速、有效、平稳地控制血糖,是糖尿病患者各周手术期控制血糖的首选方案。Objective：To find out the effect on the patients suffering from type 2 diabetes with fracture in control of high blood sugar by giving perioperative aspart insulin infusin. Methods ： Divide 40 patients at random into two groups - Group CS Ⅱ and Group MSⅡ （20 cases in each group）. During the perioperative period. Group CS Ⅱ uses aspart while Group MS Ⅱ novolinR. Then compare the control of high blood sugar , the waiting time for Surgery and the rate of low blood sugar. Resuhs：Two groups can control high blood sugar but Group CS Ⅱ is better （P 〈 0. 01 ）, Besides Group CS Ⅱ. can shorten the adjustment time and reduce the incidence of low blood sugar. Conclusion： Continuous subcntaneous insulin aspart Pump can control blood sugar rapidly effectively and smoothly. It is the preferred program for the patients with diabetes to control blood sugar in the perioperative period.

关 键 词：2型糖尿病并骨折 围手术期 胰岛素治疗应用 胰岛素输注系统治疗应用 

分 类 号：R587.1[医药卫生—内分泌]