强化胰岛素治疗对糖尿病合并颅脑外伤患者的血糖控制效果  

The Effect of Intensive Insulin Therapy on Blood Glucose Control in Diabetic Patients with Craniocerebral Trauma

作　　者：吴世忠 曾广明 WU Shizhong;ZENG Guangming(Fujian Provincial Jinshan Hospital,Fuzhou,Fujian Province,350007 China)

机构地区：[1]福建省立金山医院,福建福州350007

出　　处：《糖尿病新世界》2021年第16期89-92,共4页Diabetes New World Magazine

摘　　要：目的给予糖尿病合并颅脑外伤应激性高血糖患者强化胰岛素治疗,对其临床疗效进行观察。方法于该院2019年3月—2021年3月患者中选择110例糖尿病合并颅脑外伤应激性高血糖患者作为研究对象,随机纳入研究组55例、对照组55例,分别应用强化胰岛素治疗、常规胰岛素治疗,统计并对比两组患者的糖化血红蛋白、血糖、血糖达标时间、胰岛素用量、抗生素使用时间、治疗后格拉斯哥评分、住院时间、物质生活、躯体功能、社会功能、心理功能评分等指标。结果研究组患者的糖化血红蛋白、血糖、血糖达标时间、胰岛素用量、抗生素使用时间、治疗后格拉斯哥评分、住院时间、物质生活、躯体功能、社会功能、心理功能评分均优于对照组患者,差异有统计学意义(P<0.05)。结论给予糖尿病合并颅脑外伤应激性高血糖患者强化胰岛素治疗,可以提升患者的血糖控制效果、手术治疗效果和预后水平,同时改善患者的生活质量,可见强化胰岛素治疗对颅脑外伤患者应激性高血糖的临床效果良好,值得在临床开展应用。Objective To administer intensive insulin therapy to patients with diabetes mellitus combined with craniocerebral trauma and stress hyperglycemia,and to observe its clinical efficacy.Methods From March 2019 to March 2021,110 cases patients with diabetes mellitus and craniocerebral trauma stress hyperglycemia were selected as the research subjects,and 55 cases in the study group and 55 cases in the control group were randomly enrolled.They were treated with intensive insulin therapy and routine insulin treatment,statistics and comparison of the two groups of patients'A1C,blood glucose,blood glucose reaching target time,insulin dosage,antibiotic use time,Glasgow score after treatment,hospital stay,material life,physical function,social function,mental function score and other indicators.Results The patients in the study group were better than those in the control group in terms of glycosylated hemoglobin,blood glucose,time to reach the standard of blood glucose,insulin dosage,antibiotic use time,Glasgow score after treatment,length of stay in hospital,material life,physical function,social function,and psychological function scores,being statistically significant(P<0.05).Conclusion Intensive insulin therapy for patients with diabetes and traumatic stress hyperglycemia can improve the blood glucose control effect,surgical treatment effect and prognosis of patients,and improve the quality of life of patients.It can be seen that intensive insulin therapy is stressful for patients with traumatic brain injury.The clinical effect of hyperglycemia is good and it is worthy of clinical application.

关 键 词：糖尿病 强化胰岛素治疗 颅脑外伤 血糖控制 效果 

分 类 号：R651[医药卫生—外科学]