胰岛素泵治疗糖尿病酮症酸中毒的疗效与护理

目的比较静脉连续输注胰岛素法与胰岛素泵持续皮下胰岛素输注(CSⅡ)法治疗糖尿病酮症酸中毒(DKA)的疗效,探讨胰岛素泵持续皮下胰岛素输注(CSⅡ)护理方法。方法 DKA患者40例,随机分为对照组和CSⅡ组,给予相应护理措施。对照组用小剂量诺和灵R持续静滴,CSⅡ组给予胰岛素泵持续皮下胰岛素输注诺和灵R。结果 CSⅡ组酮体转阴快(P<0.05),两组达到相同的血糖水平,CSⅡ组所需的治疗时间、胰岛素用量以及低血糖发生率明显减少(P<0.05)。结论胰岛素泵治疗DKA酮体转阴快,能更有效、更快地控制高血糖,减少低血糖发生,而综合护理是胰岛素泵强化治疗的保障。

The effect of insulin pump in the treatment of diabetes ketoacidosis and nursing observation

Objective To compare the effect of continuous intravenous insulin infusion and continuous subcutaneous insulin infusion(CSⅡ) in the treatment of diabetic ketoacdosis(DKA) and investigate the nursing of CSⅡ.Methods Forty DKA patients were randomly divided into control group and CSⅡ group and given the appropriate nursing.The continuous venous infusion of Novolin R was administrated in the control group.In CSⅡ group,the Novolin R was subcutaneously infused using insulin pump continuously.Results The time for ketonuria to clear in the CSⅡ group was shorter than that in the control group(P<0.05),and both achieved the same blood glucose levels.The therapeutic time,insulin dosage and insulin induced hypoglycemia reaction incidence in the CSⅡ group were obviously lower than those in the control group(P<0.05).Conclusion Treatment with insulin pump infusion in DKA resulted in the faster disappearance of ketonuria.This could control hyperglycemia more effectively and more promptly.And the integrated nursing is the protection of insulin pump therapy