甘精速效胰岛素对危重症合并糖尿病患者的血糖水平及抢救效率的影响  

Effect of Glargine Quick-acting Insulin on Blood Glucose Level and Rescue Efficiency in Critically Ill Patients with Diabetes Mellitus

作　　者：吴旺业 李新宇 杨阳 WU Wangye;LI Xinyu;YANG Yang(Department of Critical Care Medicine,Lianyungang Municipal Oriental Hospital,Lianyungang 222000,Jiangsu,China)

机构地区：[1]连云港市立东方医院重症医学科,江苏连云港222000

出　　处：《糖尿病新世界》2025年第5期125-127,135,共4页Diabetes New World

摘　　要：目的分析危重症合并糖尿病患者以甘精速效胰岛素对患者血糖值及抢救效率的影响。方法纳入2019年1月—2023年1月连云港市立东方医院收诊的134例危重症合并糖尿病患者,按照治疗方法的不同分作两组,对照组(67例)以门冬胰岛素治疗,观察组(67例)以甘精胰岛素治疗。对比两组患者治疗前后的血糖水平、胰岛功能指标、抢救效率。结果治疗后,观察组空腹血糖、糖化血红蛋白、空腹胰岛素、胰岛素抵抗指数均优于对照组,差异均有统计学意义(P均<0.05)。两组抢救效率比较,差异无统计学意义(P>0.05)。结论临床治疗危重症合并糖尿病采用甘精胰岛素治疗效果确切,可有效降低患者血糖水平,同时保障抢救效率。Objective To analyze the effect of glargine quick-acting insulin on blood glucose and rescue efficiency in critically ill patients with diabetes mellitus.Methods From January 2019 to January 2023,a total of 134 critically ill patients with diabetes mellitus admitted to Lianyungang Municipal Oriental Hospital were included.They were divided into two groups according to different treatment methods.The control group(67 cases)was treated with insulin aspart,and the observation group(67 cases)was treated with insulin glargine.The blood glucose levels,islet function indexes and rescue efficiency of the two groups before and after treatment were compared.Results After treatment,the fasting plasma glucose,glycated hemoglobin A1c,fasting insulin and insulin resistance index in the observation group were better than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in rescue efficiency between the two groups(P>0.05).Conclusion The clinical treatment of critically ill patients with diabetes mellitus with insulin glargine is effective,which can effectively reduce the blood glucose level of patients and ensure the rescue efficiency.

关 键 词：甘精速效胰岛素 危重症 糖尿病 血糖水平 抢救效率 

分 类 号：R587.1[医药卫生—内分泌]