胰岛素泵在糖尿病患者围手术期的应用研究  

The application of insulin pumps in diabetes mellitus perioperative period

作　　者：吴雪艳[1] 左致煌[1] 王琼莲[1] 欧阳淑一[1] 王静[1] 李秀明[1] 

机构地区：[1]广元市中心医院内分泌科,四川广元628000

出　　处：《四川医学》2013年第9期1385-1387,共3页Sichuan Medical Journal

摘　　要：目的观察胰岛素泵治疗围手术期糖尿病患者高血糖的疗效。方法 151例基本条件相似的糖尿病手术患者分为胰岛素泵组(CSⅡ)76例和多次皮下注射胰岛素组(MSⅡ)75例,比较其围手术期的血糖和胰岛素用量;将胰岛素泵组(CSⅡ)76例分为术后禁食组45例和非禁食组31例,比较其预期血糖控制标准达标率。结果术后3d CSⅡ组各时段血糖均较MSⅡ组下降显著(P<0.05),达到预期强化控制目标所需天数:CSⅡ组显著低于MSⅡ组(P<0.05),CSⅡ组较MSⅡ组所需胰岛素少(P<0.01),术后禁食组血糖达标率高于术后非禁食组(P<0.05)。结论糖尿病患者在围手术期CSⅡ比MSⅡ控制血糖更快、更好,是糖尿病患者围手术期高血糖治疗的首选。Objective To survey and compare the effects of continuous subcutaneous insulin injection（CSII） with multiple subcutaneous insulin injection（MSII） in per operative period. Methods 151 cases with diabetes mellitus during perioperative pe- riod were divided into the continuous subcutaneous insulin injection group（ CSII group,76 cases）with multiple subcutaneous insu- lin injection group（ MSII group,75 cases） ,The effects were compared between pre-operation and post-operation. Results In three days of post-insulin therapy for CSII group, the each time blood glucose （BG） was significantly lower than MSII group, P 〈 0. 05 ; the insulin dosage of CSII group was smaller than MSII group, P 〈 0. 05. Conclusion CSII was faster and better on regulating BG and fewer in hypoglycemia than MSII in per operative period. CSII was better on rehabilitation than MSII.

关 键 词：胰岛素泵 糖尿病 围手术期 

分 类 号：R587.1[医药卫生—内分泌]