胰岛素泵在老年糖尿病合并感染治疗中的应用效果分析

目的比较采用胰岛素泵持续皮下胰岛素注射(CSII)和多次皮下胰岛素注射(MSII)治疗老年2型糖尿病合并感染患者的临床效果。方法将70例老年2型糖尿病合并感染患者随机分为胰岛素泵持续皮下注射胰岛素组(39例,CSⅡ组)和多次皮下注射胰岛素组(31例,MS1I组),检测比较两组患者的空腹血糖,糖化血红蛋白,所需胰岛素剂量,平均住院天数,重复住院率和低血糖发生事件。结果 CSⅡ组患者胰岛素所需剂量、平均住院天数、重复住院率明显低于MSII组(P0.05)。结论采用胰岛素泵持续皮下注射胰岛素治疗老年2型糖尿病合并感染患者血糖控制良好,缩短平均住院天数,提高临床疗效。

Clinical observation of insulin pump in the old infected patients with diabets

Objective To evaluate the efficacy of insulin pump in treatment of the old infected patients with diabetes.Methods Seventy old infected patients with diabetes were divided into continuous subcutaneous insulin infusion group（ CSII group,n = 39） and multiple subcutaneous insulin infusion group（ MSII group,n = 31）. The level of blood glucose,HbAlc,dosage of insulin,the hospitalization day,repeat hospitalization rate and incidence of hypoglycemia were compared between two groups.Results Insulin dosage,the hospitalization day,repeat hospitalization rate in CSII group were less than those in MSII group（ P〈0.05）. Conclusions Insulin pump can control blood glucose quickly in the treatment of old infected patients with diabetes,decrease the incidence of hypoglycemia,shorten the average hospitalization days and improve clinical efficacy.