目的:研究糖尿病围手术期应用胰岛素泵持续皮下输注胰岛素的临床疗效。方法:68例糖尿病围手术期患者随机分为33例采用胰岛素泵持续皮下输注胰岛素治疗(CSII组),对照组35例采用常规多次皮下注射胰岛素治疗(MSII组),分别对术前、术后的相关指标进行对比研究。结果:治疗后两组各时点血糖均较治疗前显著下降(P lt;0.01)。CSII组达到目标血糖所用的时间明显少于MSII组(2.9比7.2天)(P lt;0.05),血糖达标率优于MSII组(93.%比77.1%)(P lt;0.05),低血糖发生率低于MSII组(9.1%比34.3%)(P lt;0.01)。待手术时间(4.2比9.4天)和住院时间(16比24天)明显缩短(P lt;0.05),但两组住院总费用无差异(P gt;0.05)。〖结论:CSII在糖尿病患者围手术期中应用疗效及安全性方面优于MSII。
Citation：
ZHANG Hongjun,ZHANG Shaoyi,ZUO Zhihuang,et al. clinical Study of Insulin Pump for Diabetic Patients in Perioperative Period. West China Medical Journal, 2009, 24(3): 668-670. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 2. BODE BW,STEED RD,DAVIDSON PC.Reduction in severe hypoglycemia with longterm continuous subcutaneous insulin infusion in Type 1 Diabetes [J].Diabetes Care,1996,199(3):324327..
- 3. FELTBOWER RG,CAMPBELL FM,BODANSKY HJ,et al.Insulin pump therapy in childhood diabetesCost implications for primary care trusts[J].Diabetic Med,2006,23(1):86-89.
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