高龄2型糖尿病患者胰岛素泵治疗效果观察  

Observation on Therapeutic Effect of Insulin Pump in Treating Aged Patients with Type 2 Diabetes Mellitus

作　　者：张复兵[1] 姜涛[2] 宋秀霞[2] 李素景[1] 袁飞亚[1] 韩京京[1] 

机构地区：[1]北京建筑工程学院卫生所,北京100044 [2]首都医科大学附属北京世纪坛医院,北京100038

出　　处：《保健医学研究与实践》2013年第2期45-47,共3页Health Medicine Research and Practice

摘　　要：目的探索高龄2型糖尿病(T2DM)患者胰岛素泵使用中的胰岛素基础输注量。方法选择有适应症的高龄T2DM患者应用胰岛素泵治疗,调整合适的胰岛素基础输注量,记录治疗前后血糖水平。结果胰岛素泵治疗后血糖均在短时间内平稳下降,无低血糖发生。胰岛素基础输注量占全天胰岛素总量的33.3%～50.0%,平均为39.2%,低于《中国胰岛素泵治疗指南(2010)》的下限。结论高龄2型糖尿病患者在应用胰岛素泵时,须减少胰岛素基础输注量。Objective To probe into the basic amount of insulin infusion in the application of insulin pump to aged patients with type 2 diabetes mellitus （T2DM）. Method Aged T2DM patients having indications were selected and treated with insulin pump. The basic amount of insulin infusion was adjusted and blood glucose level before and after treatment was recorded. Results The blood glucose showed a steady decrease in a short time after being treated with insulin pump and there was no hypoglycemia. The basic amount of insulin infu- sion occupied 33.3~50.0% of total insulin throughout the day, accounting for 39.2% on average, which was lower than lower limit of the chinese guideline for Insulin pump treatment （2010）. Conclusion In the ap- plication of insulin pump to aged patients with type 2 diabetes mellitus, the basic amount of insulin infusion must be reduced.

关 键 词：高龄 2型糖尿病 胰岛素泵 

分 类 号：R587.1[医药卫生—内分泌]