胰岛素泵与多次皮下注射胰岛素治疗对老年糖尿病患者围手术期的应用效果分析(1)
【摘要】 目的：分析针对老年糖尿病患者围术期采用胰岛素泵与多次皮下注射胰岛素治疗的临床效果。方法：选取于本院接受老年糖尿病手术的患者90例，根据随机数字表法分为观察组和对照组，每组各45例。对照组给予多次皮下注射胰島素治疗，观察组则给予胰岛素泵治疗，对比围术期的血糖变化情况、术前血糖控制达标时间、胰岛素用量、平均住院时间、术后拆线时间以及术后并发症。结果：观察组患者围术期血糖控制良好，术后空腹血糖指标显著优于对照组，术前血糖控制达标时间、胰岛素用量、平均住院时间、术后拆线时间等指标均优于对照组，且观察组术后并发症发生率低于对照组，两组比较差异均有统计学意义(P<0.05)。结论：胰岛素泵对于老年糖尿病患者围术期血糖控制有较为显著的效果，减少并发症，促进患者康复，缩短住院时间，值得推广。
【关键词】 老年糖尿病； 围手术期； 胰岛素泵； 皮下注射胰岛素
Effect of Insulin Pump and Multiple Subcutaneous Insulin Treatments on the Perioperative Period of Elderly Patients with Diabetes Mellitus/LIU Aihua，GAO Guandou.//Medical Innovation of China，2018，15(07)：039-042
, 百拇医药
【Abstract】 Objective：To analyze the clinical effect of insulin pump and multiple subcutaneous insulin in perioperative period in elderly patients with diabetes mellitus.Method：90 cases of elderly diabetic patients in our hospital were selected，they were divided into observation group and the control group according the randomly number table，45 cases in each group.The control group received multiple subcutaneous insulin injections while the observation group received insulin pump.The changes of perioperative blood glucose，preoperative glycemic control time， insulin dosage， average length of hospital stay， postoperative stitching time and postoperative complications disease of two groups were compared.Result：The perioperative blood glucose control was good in the observation group.The postoperative fasting blood glucose index in observation group was significantly better than the control group(P<0.05).The preoperative glycemic control time， the amount of insulin， the average length of hospital stay，postoperative stool removal time and other indicators in observation group were significantly better than those of control group， and the incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion：Insulin pump has a significant effect on perioperative blood glucose control in elderly patients with diabetes，reducing complications，promoting patients rehabilitation and shortening the hospital stay，which is worthy of promoting.
, 百拇医药
【Key words】 Elderly diabetes mellitus； Perioperative； Insulin pump； Subcutaneous injection of insulin
First-author’s address：Shanghai Yang Si Hospital， Shanghai 200126， China
doi：10.3969/j.issn.1674-4985.2018.07.011
近年来，随着社会经济的不断发展，人们的生活水平有了显著的提升，生活方式的改变使得人们在饮食、运动等方面存在一定的缺失，这就导致糖尿病逐渐成为严重威胁人类健康的疾病，同时，人口老龄化的发展使得老年糖尿病患者的数量日渐上升，根据有关数据统计显示，目前，在我国外科手术住院患者中，近20%患者患有糖尿病[1]。一般情况下，糖尿病患者常伴有心血管、肾脏以及神经系统疾病，且比较容易发生感染，对糖尿病患者进行外科手术风险性较高，患者术后感染也显著高于非糖尿病患者[2-4]。现阶段，越来越多的老年糖尿病患者需要进行手术来治疗疾病，如何使他们能够顺利度过围手术期，做好血糖控制工作，是目前临床上迫切需要解决的问题[5-6]。为此，本次研究针对近两年在本院进行手术的老年2型糖尿病患者在围手术期分别采用胰岛素泵以及多次皮下注射胰岛素两种方式进行治疗，并对其血糖控制效果进行了对比，现报道如下。, 百拇医药(刘爱华 高贯斗)
【关键词】 老年糖尿病； 围手术期； 胰岛素泵； 皮下注射胰岛素
Effect of Insulin Pump and Multiple Subcutaneous Insulin Treatments on the Perioperative Period of Elderly Patients with Diabetes Mellitus/LIU Aihua，GAO Guandou.//Medical Innovation of China，2018，15(07)：039-042
, 百拇医药
【Abstract】 Objective：To analyze the clinical effect of insulin pump and multiple subcutaneous insulin in perioperative period in elderly patients with diabetes mellitus.Method：90 cases of elderly diabetic patients in our hospital were selected，they were divided into observation group and the control group according the randomly number table，45 cases in each group.The control group received multiple subcutaneous insulin injections while the observation group received insulin pump.The changes of perioperative blood glucose，preoperative glycemic control time， insulin dosage， average length of hospital stay， postoperative stitching time and postoperative complications disease of two groups were compared.Result：The perioperative blood glucose control was good in the observation group.The postoperative fasting blood glucose index in observation group was significantly better than the control group(P<0.05).The preoperative glycemic control time， the amount of insulin， the average length of hospital stay，postoperative stool removal time and other indicators in observation group were significantly better than those of control group， and the incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion：Insulin pump has a significant effect on perioperative blood glucose control in elderly patients with diabetes，reducing complications，promoting patients rehabilitation and shortening the hospital stay，which is worthy of promoting.
, 百拇医药
【Key words】 Elderly diabetes mellitus； Perioperative； Insulin pump； Subcutaneous injection of insulin
First-author’s address：Shanghai Yang Si Hospital， Shanghai 200126， China
doi：10.3969/j.issn.1674-4985.2018.07.011
近年来，随着社会经济的不断发展，人们的生活水平有了显著的提升，生活方式的改变使得人们在饮食、运动等方面存在一定的缺失，这就导致糖尿病逐渐成为严重威胁人类健康的疾病，同时，人口老龄化的发展使得老年糖尿病患者的数量日渐上升，根据有关数据统计显示，目前，在我国外科手术住院患者中，近20%患者患有糖尿病[1]。一般情况下，糖尿病患者常伴有心血管、肾脏以及神经系统疾病，且比较容易发生感染，对糖尿病患者进行外科手术风险性较高，患者术后感染也显著高于非糖尿病患者[2-4]。现阶段，越来越多的老年糖尿病患者需要进行手术来治疗疾病，如何使他们能够顺利度过围手术期，做好血糖控制工作，是目前临床上迫切需要解决的问题[5-6]。为此，本次研究针对近两年在本院进行手术的老年2型糖尿病患者在围手术期分别采用胰岛素泵以及多次皮下注射胰岛素两种方式进行治疗，并对其血糖控制效果进行了对比，现报道如下。, 百拇医药(刘爱华 高贯斗)