摘要
目的探讨胰岛素不同注射法对急性心肌梗死合并应激性高血糖病程的影响。方法将急性心肌梗死合并应激性高血糖的病人分成2组,分别使用胰岛素泵持续皮下注射(CSII组)和三餐前皮下注射胰岛素(MSII组)治疗应激性高血糖,并将2组治疗结果进行比较。结果CSII组比MSII组血糖控制更理想,血糖达标天数明显缩短,黎明现象和低血糖发生次数减少,心衰、肺部感染的发生率减少,平均住院天数缩短,而总病死率差别不大。结论CSII法治疗急性心肌梗死诱发的应激性高血糖安全有效,可显著缩短高血糖控制所需时间,减少并发症的发生,是当前强化治疗糖尿病的有效方法。
[Objective] To evriatrics the effects of different injection methods of insulin in acute myocardial infaretion with stress-induced hyperglycemia. [Methods] 40 cases of acute myocardial infarction with stress induced hyperglycemia was treated respectively by continuous subcutaneous insulin infusion （CSll）and multiple subcutaneous insulin injection （MSⅡ） and the results were compared. [Results] CSⅡ group was better in glycemic control, which is associated with shorter time period needed for ＂near normoglycemia＂, less hypoglycemia, less heart failure and less lung infection, shorter recovery time, but the mortality was not different between two groups. [Conclusion] The insulin pump treatment of stress-induced hyperglycemia during acute myocardial infarction is safe and effective, which can shorten the time of controlling hyperglycemia and reduce the complication of acute myocardial infarction.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第15期2361-2362,共2页
China Journal of Modern Medicine
关键词
胰岛素
应激性高血糖
急性心肌梗死
不同注射法
insulin
stress-induced hyperglycemia
acute myocardial infarction
different injection
