胰岛素泵在老年患者2型糖尿病中的临床治疗观察 优秀专业论文.docx
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1、胰岛素泵在老年患者2型糖尿病中的临床治疗观察【摘要】:目的:通过观察使用CS (持续性皮下输注)诺和灵R的治疗方式与进行常规性皮下注射诺和灵R与诺和灵N对老年患者2型糖尿病患者的治疗效果进行差异性对比。方法:选取本院自2010年7月一2011年6月收治的2型糖尿病患者共计98例,采用双盲法随机分为两组,甲组患者根据血糖指数进行的持续皮下输注诺和灵R,而乙组分为早、中、晚三次,在每次进餐前30min根据血糖指数进行皮卜.注射诺和灵R,在睡前进行皮下注射诺和灵N。通过检测比较2组患者在治疗前与治疗后的血糖、胰岛素用量、血糖指数达标所需时间以及低血糖发生率等各项生理指数。结果:2组患者的空腹血糖值与
2、餐后2h的血糖值在经过检查后均达到目标值,而与乙组相比甲组到达指标所需的时间短,日用胰岛素量和总使用量少,低血糖的发病率低,尤其是在夜间甲组的低血糖发生率出现率要明显低于乙组。结论:与传统治疗方式相比,老年患者2型糖尿病在短期内使用胰岛素泵输注诺和灵R具有明显的降糖作用,不但降低了治疗费用,而且安全性高,临床具有一定的应用价值。【关键字】老年患者;2型糖尿病;胰岛素泵;诺和灵R;诺和灵NInsulin pump in elderly patients with type 2 diabetes mellitus in clinical treatment observationWang Zhih
3、ui Yang Xiaojie Fan Fei Ding TaoDatong three hospital of the 037008Abstract : objective: to observe II through use CS (continuous subcutaneous infusion)fs spirit and treatment Rroutine subcutaneous injection,s spirit R and,s spirit N in elderly patients with type 2 diabetes treatment effectdifferenc
4、e contrast. Methods: we selected since July 201 O-June 2011 patients with type 2 diabetes were a total of 98patients, the double-blind randomly divided into two groups, the first according to the patients glycemic index forsubcutaneous infusion,s spirit R, and revealed the early, middle and late div
5、ided into three times, and each timedining before 30 min according to blood sugar index subcutaneous injection,s spirit R, before bed subcutaneousinjection,s spirit N. Through the inspection comparison 2 groups of patients in the before and after the treatment ofblood glucose, and treatment of insul
6、in, blood sugar index time needed for standard and the incidence ofhypoglycemia physiological index. Results: two sets of patients with fasting blood glucose value after the meal 2 hblood glucose levels after examination reached the target, and compared with the first revealed the index to the timer
7、equired for short, daily insulin quantity and total usage less, the incidence of hypoglycemia low, especially in the firstnight of the incidence of hypoglycemia in rate was significantly lower than the junior group b. Conclusion: comparedwith the traditional treatments, older patients with type 2 di
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