40例胆总管结石合并2型糖尿病ERCP取石术术后胰岛素强化治疗的临床观察  

Clinical observation of intensive insulin therapy of 40 cases of choledocholithiasis patients with type 2 diabetes after ERCP lithotomy

作　　者：朱苏敏[1] 

机构地区：[1]南京医科大学第二附属医院消化医学中心,210011

出　　处：《中国实用医药》2013年第34期13-14,共2页China Practical Medicine

摘　　要：目的胆总管结石合并2型糖尿病ERCP取石术术后血糖控制极为重要,观察两种不同控制血糖方法之间疗效。方法胆总管结石合并2型糖尿病ERCP取石术术后,应用微量泵进行持续胰岛素输注或多次皮下注射胰岛素,比较两组间血糖控制效果、血糖控制时间、低血糖发生率等方面的差异。结果两组疗效之间差异有统计学意义。结论微量泵持续胰岛素输注优于多次皮下注射胰岛素,可以快速、有效、安全的控制血糖。Objective Glycemic control of choledocholithiasis patients with type 2 diabetes after ERCP lithotomy is extremely important, effection of two different ways to control blood sugar is observed. Methods Choledocholithiasis patients with type 2 diabetes after ERCP lithotomy, the application of micro-pump for continuous insulin infusion or multiple subcutaneous insulin, hypoglycemic effect compared between the two groups, blood glucose control time, the incidence of hypoglycemia, wound infection the incidence of other differences. Results There are significant differences between the two groups. Conclusion Trace continuous insulin infusion pump is better than that of multiple subcutaneous injections of insulin and can control the blood sugar quickly, effectively and safely.

关 键 词：胰岛素强化治疗 微量泵 ERCP取石术 

分 类 号：R575.5[医药卫生—消化系统] R587.1[医药卫生—内科学]