规范化管理对非糖尿病病区胰岛素泵治疗的影响  

Influence of standardized management on insulin pump therapy in non-diabetic wards

作　　者：张晓旭[1] 张清云[1] 何德海[1] 

机构地区：[1]广元市第二人民医院,四川广元628017

出　　处：《现代医药卫生》2013年第11期1609-1610,1613,共3页Journal of Modern Medicine & Health

摘　　要：目的评价规范化管理在非糖尿病病区胰岛素泵治疗中的效果。方法 2008年5月至2011年10月采用传统管理方法对非糖尿病病区接受胰岛素泵治疗的糖尿病患者进行血糖管理(对照组),2011年11月至2012年11月采用规范化管理方法对非糖尿病病区接受胰岛素泵治疗的糖尿病患者进行血糖管理(试验组),分析两组患者血糖控制情况。结果两组患者达标比例、血糖达标最低需要时间、空腹血糖、平均餐后2小时血糖及发生低血糖比例等指标比较,试验组均优于对照组(P<0.05或0.01),两组严重内环境紊乱、感染、伤口不愈合等并发症比较,差异无统计学意义(P>0.05)。结论规范化管理可以提高非糖尿病病区胰岛素泵治疗的有效性和安全性。Objective To evaluate the effect of the standardized management for the insulin pump therapy in non- diabetic wards. Methods The traditional management method was adopted to manage blood glucose in the patients （contol group） receiving the insulin pump therapy in the non-diabetic wards from May 2008 to October 2011 ,and the standardized management method was adopted to manage blood glucose in the patients （experimental group） receiving the insulin pump therapy in the non-diabetic wards from November 2011 to November 2012. The blood glucose control situation in the two groups was analyzed. Results In the comparison of the indexes of the proportion of reaching the standard for blood glucose control, minimum time up to the standard of the blood glucose control, mean fasting blood glucose, average 2 h postprandial blood glucose and proportion of hypoglycemia, the experimental group was superior to the control group （P〈0.05 or P〈0.01 ）, but the complications such as severe internal environmental disturbance, infections and non-healing wound had no statistical differences between the two goups. Conclusion Standardized management can improve the efficacy and safety of the insulin pump therapy in non- diabetic wards.

关 键 词：糖尿病 胰岛素 治疗应用 胰岛素输注系统 规范化管理 

分 类 号：R587.1[医药卫生—内分泌]