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目的:评价胰岛素泵持续皮下泵注胰岛素对糖尿病足溃疡型感染患者的疗效。方法:选取2013年5月—2015年12月间收治的溃疡型糖尿病足感染患者70例,将其分为治疗组和对照组,每组35例;治疗组患者均给予胰岛素(采用胰岛素泵皮下注射)治疗;对照组患者均给予诺和灵R和诺和灵N治疗,比较两组患者治疗后的总有效率,和治疗前后足溃疡面积及空服血糖值的变化。结果:治疗组患者治疗的总有效率显著高于对照组(P<0.05);治疗组患者治疗后溃疡面积及空腹血糖水平均显著低于对照组(P<0.05)。结论:采用胰岛素泵持续皮下泵注胰岛素治疗溃疡型糖尿病足感染患者的疗效较为显著,能有效控制患者空腹血糖水平,缩小溃疡面积。
Objective: To evaluate the efficacy of continuous subcutaneous insulin infusion of insulin pump on patients with diabetic foot ulcer infection. Methods: Seventy patients with ulcer-type diabetic foot infection were selected from May 2013 to December 2015, and divided into treatment group and control group, with 35 cases in each group. Patients in the treatment group were given insulin (subcutaneous insulin pump Injection). Patients in the control group were treated with Novolin R and Novolin N, and the total effective rate after treatment and the changes of foot ulcer area and oral blood glucose before and after treatment were compared between the two groups. Results: The total effective rate of treatment group was significantly higher than that of control group (P <0.05). The ulcer area and fasting blood glucose level in treatment group were significantly lower than those in control group (P <0.05). Conclusion: Insulin pump sustained subcutaneous injection of insulin in patients with foot ulcer diabetic foot infection is more effective, which can effectively control the fasting blood glucose level and reduce the ulcer area.