持续皮下胰岛素注射对糖尿病合并急性心力衰竭患者的干预效果  

Intervention Effect of Continuous Subcutaneous Insulin Injection on Diabetic Patients with Acute Heart Failure

作　　者：邓有金 吴惠华[1] 林丹鸿 DENG Youjin;WU Huihua;LIN Danhong(Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院,福建福州350001

出　　处：《糖尿病新世界》2022年第8期56-59,共4页Diabetes New World Magazine

摘　　要：目的 探究在糖尿病合并急性心力衰竭患者中将持续皮下胰岛素注射方法进行应用的临床效果。方法选择该院2018年1月—2021年2月90例糖尿病合并急性心力衰竭患者作为研究对象,平均分为对照组和研究组,每组45例。分别给予多次皮下胰岛素注射和持续皮下胰岛素注射为主的不同治疗干预,对比在不同治疗方法下两组患者的血糖水平、治疗有效率和低血糖发生率。结果 治疗后,两组各项血糖值均得以降低,研究组患者的空腹血糖和餐后2 h血糖方面的水平分别为(7.49±0.29)、(9.04±0.28)mmol/L,均比对照组的血糖水平低,差异有统计学意义(t=41.603、16.866,P<0.05)。研究组患者的治疗有效率为95.56%,低血糖发生率为4.44%,显著优于对照组,差异有统计学意义(χ^(2)=5.075、6.154,P<0.05)。结论 在糖尿病合并心力衰竭患者治疗中将持续皮下胰岛素注射方法进行应用,其临床效果显著,有利于改善患者的血糖水平,促进患者恢复,减少患者的不良反应发生率,临床应用价值较高。Objective To explore the clinical effect of continuous subcutaneous insulin injection in diabetic patients with acute heart failure.Methods A total of 90 patients with diabetes and acute heart failure from January 2018 to February 2021 in the hospital were selected as the research subjects,and they were divided into a control group and a study group,with 45 cases in each group.Different therapeutic interventions based on multiple subcutaneous insulin injections and continuous subcutaneous insulin injections were given.The blood glucose levels,treatment efficiency and incidence of hypoglycemia were compared between the two groups of patients under different treatment methods.Results After treatment,the blood glucose levels in the two groups were reduced,and the fasting blood glucose and 2 h postprandial blood glucose levels of the patients in the study group were(7.49 ±0.29) mmol/L and(9.04±0.28) mmol/L,respectively,which were lower than those in the control group,and the difference was statistically significant(t=41.603,16.866,P<0.05).The effective rate of treatment in the study group was 95.56%,and the incidence of hypoglycemia was 4.44%,which were significantly better than that in the control group,and the difference was statistically significant(χ~2=5.075,6.154,P<0.05).Conclusion The application of continuous subcutaneous insulin injection in the treatment of patients with diabetes and heart failure has a significant clinical effect,which is beneficial to improve the blood glucose level of the patients,promote the recovery of the patients,and reduce the incidence of adverse reactions in the patients.The clinical application value is high.

关 键 词：持续皮下胰岛素注射 糖尿病 急性心力衰竭 治疗效果 低血糖发生率 

分 类 号：R473[医药卫生—护理学]