摘要
目的观察胰岛素泵治疗危重患者应激性高血糖的有效性及安全性。方法回顾分析62例在急诊科就诊的非糖尿病应激性高血糖危重病患者,分为治疗组32例(胰岛素泵治疗)和对照组30例(静脉或皮下胰岛素常规治疗),设定血糖控制目标为7～10mmol/L。比较两组之间的血糖达标时间、胰岛素用量、住院时间、低血糖发生率、病死率。结果胰岛素泵治疗组中患者血糖达标时间、胰岛素平均日用量、住院时间、低血糖发生率较对照组较少,病死率两组无显著性差异。结论胰岛素泵强化治疗急诊科危重患者应激性高血糖可以缩短血糖达标时间及住院时间,减少胰岛素平均日用量等优势。
Objective To investigate the effect and safety of insulin pumb therapy on critical patients with stress hyperglycemia in emergency department. Methods 62 nondiabetes critical patients with stress hyperglycemia were divided into two groups. 32 cases were therapied by insulin pumb（therapy group） and other 30 cases by normal therapy method（control group） . The two group s were observed and compared the,the insulin doses each day,the days in hospital,rate of hypoglycemia and mortality. Results All the above indices except morbidity of hypoglycemia were significantly lower in the insulin pumb therapy group than those in control group（P〈0.05） . Conclusion Insulin pumb therapy can reduce the day in hospital,the doses of insulin,the rate of hypoglycemia,it is a effective and safety therapy method for the critical patients with stress hyperglycemia.
出处
《当代医学》
2011年第28期39-40,共2页
Contemporary Medicine
