胰岛素泵强化治疗2型糖尿病合并肺部感染的疗效观察

目的观察胰岛素泵皮下连续注射治疗2型糖尿病并肺部感染患者强化血糖控制的疗效。方法将住院的2型糖尿病并肺部感染患者112例随机分为皮下胰岛素泵治疗组和多次皮下注射治疗组，观察感染细菌、血糖、血糖下降至正常的时间、肺部感染控制时间及低血糖发生率。结果糖尿病合并肺部感染患者的病原菌主要以G＋为主。两组患者的血糖治疗后均明显下降，达目标血糖值的时间、肺部感染控制时间、胰岛素用量、低血糖发生率CSII组较MSII组明显减少（P〈0．05）。结论糖尿病合并肺部感染的患者主要致病菌是革兰阴性菌。CSII能更好地控制血糖，减少住院天数，并能减少低血糖发生，是较为理想的方法。

Effects of insulin pumn intensive treatment in diagnosed type 2 diabetic patients with pulmonary infection

Objective To study the effects of continuous subcutaneous insulin injection in treatment of type 2 diabetic patients with pulmonary infections. Methods 112 type 2 diabetic patients with pulmonary infections were randomly divided into group CSII and group MSII, and the bacteria, period of normalization of the blood glucose and cure of the pulmonary infections were obseroed. Results Blood glucose of all patients in two groups were reduced significantly. Significant diference was observed in the cure of the pulmonary infections, usage amount of insulin and morbidity of low blood glucose. Conclusion Type 2 diabetic patients with pulmonary infection mellitus were majorly infected by pathogenic G bacteria. CSII was able to control the blood ghcose better,reduce the hospital day and decrease the moroidity of low bleod glucose. CSII was a better of method.