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依据收治顺序单双号分组方法,将68例糖尿病酮症酸中毒患者分为观察组(n=34)和对照组(n=34),两组患者均给予糖尿病酮症酸中毒常规处理,此外,对照组患者静脉滴注小剂量的胰岛素治疗,而观察组患者则采用胰岛素泵泵入胰岛素治疗的方式。对比两组疗效指标包括血糖恢复正常时间、尿酮转阴时间、p H值恢复正常和胰岛素日均用量。结果观察组血糖恢复正常时间、尿酮转阴时间、p H值恢复正常时间分别为(5.21±1.16)h、(40.35±24.68)h、(9.09±3.46)h,均较对照组显著缩短,胰岛素日均用量为(52.36±16.55),较对照组显著减少,差异均有统计学意义(P<0.05)。结论胰岛素泵治疗糖尿病酮症酸中毒疗效显著,可以降低胰岛素用量,快速改善患者临床症状。
Sixty-eight patients with diabetic ketoacidosis were divided into the observation group (n = 34) and the control group (n = 34) according to the single and double grouping method. The patients in both groups were given routine treatment of diabetic ketoacidosis. In addition, , The control group patients intravenous infusion of low-dose insulin treatment, while the observation group patients were treated with insulin pump insulin therapy. Comparison of two groups of indicators of efficacy, including normal blood glucose recovery time, urine ketone conversion time, p H value returned to normal and the average daily dosage of insulin. Results The blood glucose recovery time, urinary ketone conversion time and p H value returned to normal in the observation group were (5.21 ± 1.16) h and (40.35 ± 24.68) h and (9.09 ± 3.46) h, respectively, which were significantly shorter than those in the control group. Insulin The average daily dose was (52.36 ± 16.55), which was significantly lower than that of the control group (P <0.05). Conclusion Insulin pump treatment of diabetic ketoacidosis significant effect, can reduce the amount of insulin, rapid improvement in clinical symptoms.