胰岛素泵强化治疗对老年糖尿病合并感染控制的影响  

Impact of insulin pump treatment on control of infection in elderly diabetic patients

作　　者：黄锦欢[1] 孙鹏飞[1] 覃灿彬[1] 

机构地区：[1]玉林市第二人民医院内分泌科,广西玉林537000

出　　处：《中华医院感染学杂志》2011年第23期4956-4958,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨胰岛素泵短期强化治疗老年糖尿病合并感染的疗效及安全性。方法将77例老年糖尿病合并感染患者随机分为胰岛素泵持续皮下输注治疗组(CSII组)38例,及多次胰岛素皮下注射治疗组(MSII组)39例,比较两组患者治疗后血糖水平、血糖达标时间、胰岛素用量、感染控制时间,低血糖发生率、平均住院天数等的差异。结果治疗后两组患者血糖均明显下降(P<0.01),CSII组对血糖的控制优于MSII组,两组比较差异有统计学意义(P<0.05或<0.01);CSII组血糖达标时间、胰岛素用量、低血糖发生率、住院天数均低于MSII组,两组比较差异有统计学意义(P<0.05或P<0.01)。结论老年糖尿病合并感染患者应用胰岛素泵强化治疗可迅速控制血糖,缩短感染控制时间,缩短住院天数,减少低血糖的发生,安全有效,是理想的治疗方法。OBJECTIVE To investigate the efficacy and safety of the short-term intensive insulin pump therapy in elderly diabetic patients. METHODS The elderly diabetic patients infected patients,77 were randomly assigned to continuous subcutaneous insulin infusion pump treatment groups（CSII group）（38 cases）,and multiple subcutaneous insulin treatment group（MSII group）（39 patients）.After treatment were compared blood glucose levels,blood glucose time,insulin dosage,infection control time,the incidence of hypoglycemia,the average length of stay and other differences. RESULTS After treatment,blood glucose decreased significantly（P0.01） in CSII group than that of MSII group（P0.01,P0.05）,time of blood glucose,insulin dosage,the incidence of hypoglycemia in hospital days were lower than MSII group（P0.01,P0.05）. CONCLUSION Elderly patients with infected diabetic insulin pump therapy can control blood sugar quickly,shortening the time of infection control,shorter hospital stay and reduce the incidence of low blood sugar,safe and effective,is the ideal treatment.

关 键 词：老年糖尿病 感染 胰岛素泵 强化治疗 

分 类 号：R181.32[医药卫生—流行病学]