持续皮下输注速效胰岛素类似物治疗急诊糖尿病酮症酸中毒的临床效果  

Clinical Effect of Continuous Subcutaneous Infusion of Fast-acting Insulin Analogues on Emergency Diabetic Ketoacidosis

作　　者：谢永洪 XIE Yong-hong(Emergency Department,Staff General Hospital of Liaoyuan Mining(Group)Co.,Ltd.Liaoyuan,Jilin Province,136201 China)

机构地区：[1]辽源矿业(集团)有限责任公司职工总医院急诊科,吉林辽源136201

出　　处：《糖尿病新世界》2020年第11期191-192,195,共3页Diabetes New World Magazine

摘　　要：目的 探讨持续皮下输注速效胰岛素类似物在急诊糖尿病酮症酸中毒治疗中的作用.方法 选取90例该院在2018年6月—2019年6月间收治的糖尿病酮症酸中毒患者进行研究,按照入院先后顺序分成对照组与观察组.分别予以胰岛素静脉滴注和持续皮下输注速效胰岛素类似物方案,比较治疗效果.结果 观察组血糖值和糖化血红蛋白、胰岛素用量、并发症发生率低于对照组,血糖控制时间和酮症酸中毒症状消失时间短于对照组(P<0.05).结论 予以糖尿病酮症酸中毒患者持续皮下输注速效胰岛素类似物可提高疾病治疗效果,减少低血糖风险.Objective To investigate the role of continuous subcutaneous infusion of fast-acting insulin analogue in the treatment of emergency diabetic ketoacidosis.Methods Ninety patients with diabetic ketoacidosis admitted to the hospital from June 2018 to June 2019 were selected for study,and were divided into a control group and an observation group according to the order of admission.Intravenous insulin infusion and continuous subcutaneous infusion of fast-acting insulin analogs were given to compare treatment effects.Results The blood glucose level,glycated hemoglobin,insulin dosage,and incidence of complications in the observation group were lower than those in the control group,and the time for blood glucose control and the disappearance of symptoms of ketoacidosis were shorter than those in the control group(P<0.05).Conclusion Subcutaneous infusion of fast-acting insulin analogues can improve the treatment effect of the disease,reduce the risk of hypoglycemia.

关 键 词：持续皮下输注 速效胰岛素类似物 糖尿病酮症酸中毒 控糖效果 并发症 

分 类 号：R587.1[医药卫生—内分泌]