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A Clinical Study on Treatment of Diabetes By Continuous Subcutaneous Infusion with Insulin Pump
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- Author:
- No author available
- Journal Title:
- JOURNAL OF CHINESE PHYSICIAN
- Issue:
- 9
- DOI:
- 10.3760/cma.j.issn.1008-1372.2001.09.006
- Key Word:
- 胰岛素,泵;皮下注射,治疗,高血糖
Abstract： 目的比较不同胰岛素给药方法对高血糖治疗差异.方法 26例需胰岛素治疗的高血糖病人住院进行了两种胰岛素强化治疗.(1)胰岛素泵连续皮下治疗(CSⅡ组:1型DM 4例,2型DM 2例);(2)多次皮下注射胰岛素治疗(MSⅡ:1型DM 3例,2型DM 17例).二组治疗目标血糖值均为三餐前血糖及睡前末梢血糖≥3.6mmol/L且≤7.2mmol/L并至少3d.结果二组病人最终均达到了目标血糖值,但CSⅡ组更接近正常水平,平均高血糖控制天数有显著性差异.CSⅡ组:(8.3±1.3)d,MSⅡ组:(13.6±2.4)d,(t=5.136,P＜0.05).胰岛素用量无显著性差异.CSⅡ:(43.4±8.4)u/d,MSⅡ:(47.2±8.7)u/d,(t=0.945,P＞0.05),而CSⅡ组低血糖发生率低于MSⅡ组,CSⅡ:(0.67±1.3)次/人,MSⅡ:(2.15±1.4)次/人,(t=2.305,P＜0.05).结论 CSⅡ组可较MSⅡ组更快更有效控制高血糖,并减少低血糖发生.
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