【摘要】 目的 比较胰岛素泵(CSII)和多次皮下注射胰岛素(MSII)治疗围手术期糖尿病患者高血糖的疗效。 方法 CSII组84例与MSII组87例糖尿病患者在围手术期进行应用血糖的比较。 结果 术后3天CSII组各时段血糖均较MSII组下降显著(P<0.01)，达到预期强化控制目标所需天数CSII组显著低于MSII组(P<0.01)，CSII组较MSII组所需胰岛素少15%左右(P<0.01)。 结论 在围手术期CSII比MSII控制血糖更为迅速、理想、所需胰岛素少，更有利于术前准备、术后康复、防止术后并发症、同时能更好的满足术后某些特殊状态的血糖控制要求。

    【关键词】 胰岛素泵 糖尿病 围手术期

    Application of insulin pumps in surgery

    Wu Jinxiao，Yan Zheng

    Department of Endocrinology，Beijing Army General Hospital，Beijing100700.

    【Abstract】 Objective To compare the effects of continuous subcutaneous insulin injection(CSII)and multi-ple subcutaneous insulin injection(MSII)in perioperative period.Methods The effects of CSII(84patients)and MSII(87patients)were compared between pre-and post-operation.Results In three days of post-insulin thera-py for two groups(CSII vs MSII)，the each time blood glucose(BG)was significantly different(P<0.01).Conclu-sion CSII was faster and better on regulating BG and fewer in hypoglycemia than MSII in perioperative period.CSII was better on rehabilitation than MSII. ......