胰島素泵與多次皮下注射胰島素治療對(duì)老年糖尿病患者圍手術(shù)期的應(yīng)用效果分析

本文格式為Word版，下載可任意編輯——胰島素泵與多次皮下注射胰島素治療對(duì)老年糖尿病患者圍手術(shù)期的應(yīng)用效果分析

目的：分析針對(duì)老年糖尿病患者圍術(shù)期采用胰島素泵與屢屢皮下注射胰島素治療的臨床效果。方法：選取于本院采納老年糖尿病手術(shù)的患者90例，根據(jù)隨機(jī)數(shù)字表法分為查看組和對(duì)照組，每組各45例。對(duì)照組賦予屢屢皮下注射胰島素治療，查看組那么賦予胰島素泵治療，比較圍術(shù)期的血糖變化處境、術(shù)前血糖操縱達(dá)標(biāo)時(shí)間、胰島素用量、平均住院時(shí)間、術(shù)后拆線(xiàn)時(shí)間以及術(shù)后并發(fā)癥。結(jié)果：查看組患者圍術(shù)期血糖操縱良好，術(shù)后空腹血糖指標(biāo)顯著優(yōu)于對(duì)照組，術(shù)前血糖操縱達(dá)標(biāo)時(shí)間、胰島素用量、平均住院時(shí)間、術(shù)后拆線(xiàn)時(shí)間等指標(biāo)均優(yōu)于對(duì)照組，且查看組術(shù)后并發(fā)癥發(fā)生率低于對(duì)照組，兩組對(duì)比差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：胰島素泵對(duì)于老年糖尿病患者圍術(shù)期血糖操縱有較為顯著的效果，裁減并發(fā)癥，促進(jìn)患者康復(fù)，縮短住院時(shí)間，值得推廣。

老年糖尿??；圍手術(shù)期；胰島素泵；皮下注射胰島素

EffectofInsulinPumpandMultipleSubcutaneousInsulinTreatmentsonthePerioperativePeriodofElderlyPatientswithDiabetesMellitus/LIUAihua，GAOGuandou.//MedicalInnovationofChina，2022，15（07）：039-042

Objective：Toanalyzetheclinicaleffectofinsulinpumpandmultiplesubcutaneousinsulininperioperativeperiodinelderlypatientswithdiabetesmellitus.Method：90casesofelderlydiabeticpatientsinourhospitalwereselected，theyweredividedintoobservationgroupandthecontrolgroupaccordingtherandomlynumbertable，45casesineachgroup.Thecontrolgroupreceivedmultiplesubcutaneousinsulininjectionswhiletheobservationgroupreceivedinsulinpump.Thechangesofperioperativebloodglucose，preoperativeglycemiccontroltime，insulindosage，averagelengthofhospitalstay，postoperativestitchingtimeandpostoperativecomplicationsdiseaseoftwogroupswerecompared.Result：Theperioperativebloodglucosecontrolwasgoodintheobservationgroup.Thepostoperativefastingbloodglucoseindexinobservationgroupwassignificantlybetterthanthecontrolgroup（P<0.05）.Thepreoperativeglycemiccontroltime，theamountofinsulin，theaveragelengthofhospitalstay，postoperativestoolremovaltimeandotherindicatorsinobservationgroupweresignificantlybetterthanthoseofcontrolgroup，andtheincidenceofpostoperativecomplicationsintheobservationgroupwaslowerthanthatinthecontrolgroup（P<0.05）.Conclusion：Insulinpumphasasignificanteffectonperioperativebloodglucosecontrolinelderlypatientswithdiabetes，reducingcomplications，promotingpatientsrehabilitationandshorteningthehospitalstay，whichisworthyofpromoting.

Elderlydiabetesmellitus；Perioperative；Insulinpump；Subcutaneousinjectionofinsulin

First-author’saddress：ShanghaiYangSiHospital，Shanghai202226，China

doi：10.3969/j.issn.1674-4985.2022.07.011

近年來(lái)，隨著社會(huì)經(jīng)濟(jì)的不斷進(jìn)展，人們的生活水平有了顯著的提升，生活方式的變更使得人們?cè)陲嬍?、運(yùn)動(dòng)等方面存在確定的缺失，這就導(dǎo)致糖尿病逐步成為嚴(yán)重要挾人類(lèi)健康的疾病，同時(shí)，人口老齡化的進(jìn)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(jì)顯示，目前，在我國(guó)外科手術(shù)住院患者中，近20%患者患有糖尿病[1]。一般處境下，糖尿病患者常伴有心血管、腎臟以及神經(jīng)系統(tǒng)疾病，且對(duì)比輕易發(fā)生感染，對(duì)糖尿病患者舉行外科手術(shù)風(fēng)險(xiǎn)性較高，患者術(shù)后感染也顯著高于非糖尿病患者[2-4]?，F(xiàn)階段，越來(lái)越多的老年糖尿病患者需要舉行