不同胰島素注射方法治療2型糖尿病并發(fā)感染臨床療效對比觀察

陳豐收　鄭妹容

[摘要] 目的 研究不同胰島素注射方法治療2型糖尿病并發(fā)感染的臨床療效。方法 該次納入2018年7月—2019年6月期間該院收治的96例2型糖尿病并發(fā)感染患者展開研究，按照隨機(jī)數(shù)字表法分為兩組，對照組48例實施胰島素三短一長法強(qiáng)化注射，觀察組48例予以胰島素泵持續(xù)皮下注射。將兩組的臨床療效、治療相關(guān)指標(biāo)、并發(fā)癥發(fā)生情況進(jìn)行比對。 結(jié)果 觀察組2型糖尿病并發(fā)感染患者的臨床總有效率高于對照組（P<0.05）;觀察組患者治療后的空腹血糖、餐后2 h血糖水平、血糖達(dá)標(biāo)時間、胰島素日用量、感染控制時間均優(yōu)于對照組，并發(fā)癥發(fā)生率低于對照組（P<0.05）。 結(jié)論 相較于胰島素三短一長法強(qiáng)化注射法，胰島素泵持續(xù)皮下注射治療2型糖尿病并發(fā)感染患者更加安全有效，可促進(jìn)血糖及感染控制效果的提升。

[關(guān)鍵詞] 2型糖尿病;感染;胰島素

[中圖分類號] R587.2? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（b）-0028-03

[Abstract] Objective To study the clinical efficacy of different insulin injection methods in the treatment of type 2 diabetes complicated with infection. Methods A total of 96 patients with type 2 diabetes and concurrent infections treated in our hospital from July 2018 to June 2019 were included in this study. They were divided into two groups according to the random number table method， and 48 patients in the control group were treated with insulin three short and one long intensive injection; and 48 patients in the observation group were given continuous subcutaneous injection with an insulin pump. The clinical efficacy， treatment-related indicators， and complications of the two groups were compared. Results The total clinical effective rate of patients with type 2 diabetes complicated with infection in the observation group was higher than that in the control group（P<0.05）; the patients in the observation group had fasting blood glucose after treatment， 2 h postprandial blood glucose level， blood glucose compliance time， daily insulin dosage， and infection control time were better than the control group， and the incidence of complications was lower than that of the control group（P<0.05）. Conclusion Compared with the insulin three-short and one-length intensive injection method， continuous subcutaneous injection of insulin pump in the treatment of patients with type 2 diabetes complicated with infection is safer and more effective， and it can promote the improvement of blood glucose and infection control effect.

[Key words] Type 2 diabetes; Infection; Insulin

2型糖尿病在糖尿病類型中所占比例較高，病情持續(xù)進(jìn)展會導(dǎo)致全身多器官、多系統(tǒng)受損，增加并發(fā)癥發(fā)生風(fēng)險，并會對患者的身體健康及生命安全造成威脅。感染是2型糖尿病患者的常見并發(fā)癥，會促使臨床治療難度加大[1-2]。在2型糖尿病并發(fā)感染患者的治療中，血糖水平的高低會直接影響到感染控制效果，因此臨床應(yīng)同時注意加強(qiáng)血糖及感染的控制。2型糖尿病患者常通過調(diào)整飲食結(jié)構(gòu)、口服降糖藥、胰島素注射等方法控制血糖，胰島素常規(guī)注射方法易出現(xiàn)并發(fā)癥，不同胰島素注射方式的有效性、安全性存在差異，該文特選取2018年7月—2019年6月收治的2型糖尿病并發(fā)感染患者92例對此進(jìn)一步研究，旨在為2型糖尿病并發(fā)感染臨床療效的提高選擇更加有效、安全的治療方案。現(xiàn)報道如下。

1? 資料與方法

1.1? 一般資料

根據(jù)隨機(jī)數(shù)字表法將該院接收的96例2型糖尿病并發(fā)感染患者分為對照組、觀察組。……