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目的通过对不同诊疗方案在2型糖尿病中的应用效果对比观察和分析,以期筛选出更加有效及科学的诊疗方案提高血糖控制效果。方法收集120例2型糖尿病者且根据患者就诊顺序、参考随机数字表法、按照1∶1∶1比例分为观察组[动态血糖监测系统(CGMS)与胰岛素泵(CSII)联合治疗方案]、对照Ⅰ组[胰岛素泵(CSII)+指血监测]、对照Ⅱ组[每日多次注射胰岛素(MSII)+指血监测],三组患者分别采取动态血糖监测系统(CGMS)与胰岛素泵(CSII)联合方案、指血监测+胰岛素泵(CSII)方案、指血监测+每日多次注射胰岛素(MSII)方案,同时对三组患者血糖水平、血糖达标时间和胰岛素用量进行对比,且对所得数据予以统计学处理分析。结果治疗后观察组空腹血糖、餐后2h血糖、凌晨3:00血糖,与对照Ⅰ组、Ⅱ组比较差异有统计学意义(P<0.05);血糖达标时间观察组与对照Ⅱ组比较差异有统计学意义(P<0.05);胰岛素用量观察组与对照Ⅰ组、Ⅱ组比较差异有统计学意义(P<0.05)。结论动态血糖监测系统(CGMS)结合胰岛素泵(CSII)联合方案在2型糖尿病中应用效果良好,是目前监测血糖和调控血糖较为理想的方案之一。
Objective To compare and analyze the effect of different treatment programs in type 2 diabetes in order to screen out more effective and scientific treatment plans to improve the effect of blood sugar control. Methods One hundred and twenty patients with type 2 diabetes mellitus were collected and divided into the observation group [combination therapy of CGMS and CSII] according to the order of patients’ consultation and random number table according to the ratio of 1: 1: 1. The patients in control group (CSII + blood fingering) and control group II (MSII + blood fingering per day), the three groups were respectively treated with CGMS and insulin pump CSII) program, which refers to the blood monitoring + insulin pump (CSII) program, blood monitoring + multiple daily injections of insulin (MSII) program, while comparing the three groups of patients blood glucose levels, blood glucose compliance time and insulin dosage, The data obtained for statistical analysis. Results After treatment, the fasting blood glucose, postprandial blood glucose 2h, and early morning 3h blood glucose in the observation group were significantly different from those in the control group I and group II (P <0.05). There was significant difference between the observation group and the control group Ⅱ Statistical significance (P <0.05); There was significant difference between insulin dosage observation group and control group Ⅰ and group Ⅱ (P <0.05). Conclusions The combination of CGMS and CSII is effective in type 2 diabetes mellitus, which is one of the most ideal programs for monitoring blood glucose and regulating blood glucose.