【摘要】 目的：分析針對老年糖尿病患者圍術(shù)期采用胰島素泵與多次皮下注射胰島素治療的臨床效果。方法：選取于本院接受老年糖尿病手術(shù)的患者90例，根據(jù)隨機數(shù)字表法分為觀察組和對照組，每組各45例。對照組給予多次皮下注射胰島素治療，觀察組則給予胰島素泵治療，對比圍術(shù)期的血糖變化情況、術(shù)前血糖控制達(dá)標(biāo)時間、胰島素用量、平均住院時間、術(shù)后拆線時間以及術(shù)后并發(fā)癥。結(jié)果：觀察組患者圍術(shù)期血糖控制良好，術(shù)后空腹血糖指標(biāo)顯著優(yōu)于對照組，術(shù)前血糖控制達(dá)標(biāo)時間、胰島素用量、平均住院時間、術(shù)后拆線時間等指標(biāo)均優(yōu)于對照組，且觀察組術(shù)后并發(fā)癥發(fā)生率低于對照組，兩組比較差異均有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論：胰島素泵對于老年糖尿病患者圍術(shù)期血糖控制有較為顯著的效果，減少并發(fā)癥，促進(jìn)患者康復(fù)，縮短住院時間，值得推廣。
　　【關(guān)鍵詞】 老年糖尿��； 圍手術(shù)期； 胰島素泵； 皮下注射胰島素
　　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
　　【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.
　　【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
　　近年來，隨著社會經(jīng)濟(jì)的不斷發(fā)展，人們的生活水平有了顯著的提升，生活方式的改變使得人們在飲食、運動等方面存在一定的缺失，這就導(dǎo)致糖尿病逐漸成為嚴(yán)重威脅人類健康的疾病，同時，人口老齡化的發(fā)展使得老年糖尿病患者的數(shù)量日漸上升，根據(jù)有關(guān)數(shù)據(jù)統(tǒng)計顯示，目前，在我國外科手術(shù)住院患者中，近20%患者患有糖尿病[1]。一般情況下，糖尿病患者常伴有心血管、腎臟以及神經(jīng)系統(tǒng)疾病，且比較容易發(fā)生感染，對糖尿病患者進(jìn)行外科手術(shù)風(fēng)險性較高，患者術(shù)后感染也顯著高于非糖尿病患者[2-4]。現(xiàn)階段，越來越多的老年糖尿病患者需要進(jìn)行手術(shù)來治療疾病，如何使他們能夠順利度過圍手術(shù)期，做好血糖控制工作，是目前臨床上迫切需要解決的問題[5-6]。為此，本次研究針對近兩年在本院進(jìn)行手術(shù)的老年2型糖尿病患者在圍手術(shù)期分別采用胰島素泵以及多次皮下注射胰島素兩種方式進(jìn)行治療，并對其血糖控制效果進(jìn)行了對比，現(xiàn)報道如下。

相關(guān)熱詞搜索：胰島素 皮下 注射 糖尿病患者 老年