实时动态血糖监测联合胰岛素泵治疗脆性糖尿病患者血糖的临床观察  

Clinical Observation of Real Time Dynamic Blood Glucose Monitoring Combined With Insulin Pump in the Treatment of Blood Glucose in Patients With Brittle Diabetes

作　　者：黄震国[1] 申圣爱[1] 张春子[1] HUANG Zhen guo;SHEN Sheng＇ai;ZHANG Chunzi(Department of Endocrinology, Yanji Hospital, Yanji Jilin 133000, China)

机构地区：[1]延吉市医院内分泌科,吉林延吉133000

出　　处：《中国继续医学教育》2017年第26期90-91,共2页China Continuing Medical Education

摘　　要：目的观察实时动态血糖监测联合胰岛素泵治疗糖尿病患者的临床效果。方法选取脆性糖尿病患者50例,随机分为两组,分别采用实时动态血糖监测系统监测血糖联合胰岛素泵治疗("3C"疗法)和快速血糖监测及持续皮下胰岛素输注治疗。记录两组患者血糖达标时间,血糖达标时日胰岛素使用总量及低血糖发生率。结果观察组血糖达标时间短于对照组,血糖达标时日胰岛素使用总量少于对照组,低血糖发生率低于对照组,差异有统计学意义(P<0.05)。结论 3C疗法能够精细调整胰岛素用量,平稳快速的使血糖达到控制标准,并降低低血糖的发生。Objective To observe the clinical effect of real-time dynamic blood glucose monitoring combined with insulin pump in the treatment of diabetic patients. Methods 50 patients with fragile diabetes were randomly divided into two groups, real time dynamic blood glucose monitoring system was used to monitor blood glucose combined with insulin pump therapy （＂3C＂ therapy） and rapid blood glucose monitoring and continuous subcutaneous insulin infusion therapy. The standard time of blood glucose, the total amount of insulin use and the incidence of hypoglycemia in two groups were recorded. Results The blood glucose standard time of the observation group was shorter than that of the control group, the total amount of insulin use was less than that of the control group, and the incidence of hypoglycemia was lower than that of the control group, the difference was statistically significant （P 〈 0.05）. Conclusion 3C therapy can adjust the dosage of insulin, smooth and rapid blood glucose control standards, and reduce the occurrence of hypoglycemia.

关 键 词：实时动态血糖监测 胰岛素泵 脆性糖尿病 

分 类 号：R587[医药卫生—内分泌]