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目的在新住院的糖尿病患者中,比较不同类型的强化治疗方法及不同的胰岛素类似物在血糖的控制、胰岛素类似物的用量、低血糖事件和依从性的差异。方法选择68例糖尿病患者,分为二组,一组为胰岛素泵组36例,用诺和锐控制血糖;另一组为多次皮下注射组,32例,用甘精胰岛素和诺和锐控制血糖。结果患者空腹血糖和餐后2 h血糖均达到目标值,且胰岛素泵组用时短,达标当日胰岛素用量少,达标时胰岛素总用量少,均有显著差异。结论糖尿病两种强化治疗均能良好控制血糖,使用胰岛素泵的患者达标时间短,达标时当日用量少,胰岛素总用量少及患者依从性好。
OBJECTIVE: To compare different types of intensive treatment and different insulin analogs in the control of blood glucose, insulin analogues, hypoglycaemic events and compliance in newly hospitalized patients with diabetes. Methods Sixty-eight patients with diabetes mellitus were divided into two groups. One group consisted of 36 cases of insulin pump group and Novo-Rui-controlled blood glucose group. The other group was subcutaneous injection group, 32 cases were treated with insulin glargine and Novolin blood sugar. Results Both fasting blood glucose and postprandial blood glucose reached the target value in 2 h, and the insulin pump group was used for a short time. There was a small amount of insulin on the day of reaching the standard, and the total insulin dosage was less when the target was reached. Conclusions Both intensive treatment of diabetes can control blood sugar well. Patients who use insulin pump have short time-to-standard, less daily dosage, less total insulin dosage and good patient compliance.