老年糖尿病患者冠脉搭桥术后应用微量泵调节胰岛素控制血糖的效果  

Effect of micro.pump regulation of insulin in control blood sugar after coronary artery bypass surgery in elderly diabetic patients

作　　者：周意[1] 季瑾[1] 钟蓓芬[1] 

机构地区：[1]上海交通大学附属第一人民医院心外科,200080

出　　处：《中华现代护理杂志》2013年第10期1135-1138,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨高龄糖尿病患者行冠脉搭桥手术后胰岛素泵强化治疗控制血糖的护理。方法2010年3月至2012年3月选取就诊于上海交通大学附属第一人民医院心外科选择冠脉搭桥的高龄糖尿病患者153例，随机分为观察组（77例）和对照组（76例），观察组术后予以1∶1胰岛素液静脉持续泵入，对照组根据血糖结果予以胰岛素皮下注射。比较两组治疗效果。结果术后观察组发生低血糖1例，对照组7例，差异有统计学意义（Z=-2.1975，P〈0.05）；观察组术后血糖波动小，无伤口感染；对照组发生伤口感染4例。结论积极的术前术后护理、正确应用微量泵胰岛素泵入更利于术后血糖控制以及患者术后恢复。Objective To discuss the nursing of insulin pump therapy to control blood glucose after coronary artery bypass surgery in elderly diabetic patients. Methods Totals of 153 patients undergoing coronary artery bypass surgery between March 2010 and March 2012 were divided into observation group （n = 77 ） and control group （n = 76） randomly. Insulin was given by micro-pump intravenous in observation group and insulin was given subcutaneous injection in control group, respectively. Materials pre-, intra-and post-operation were analyzed. Results There was no statistical difference of pre-and intra-operation between the two groups. The incidence of hypoglycemia and wound infection in insulin pump group was significantly lower than that of control group （1 vs 7, Z = -2. 1975, P 〈 0.05 ）. Conclusions Active peri-operative care and correct application of insulin micro pump are advantageous for postoperative blood glucose control and postoperative recovery.

关 键 词：糖尿病 2型 老年患者 冠状动脉旁路移植术 微量泵 胰岛素控制 

分 类 号：R65[医药卫生—外科学] R587[医药卫生—临床医学]