摘要
目的比较在急性脑卒中患者高血糖调控使用皮下注射胰岛素及使用胰岛素泵血糖控制的时间和疗效。方法多次皮下注射胰岛素组(multisubcutaneousinsulininjection.MSⅡ)22例,采用诺和灵R笔芯装入诺和灵笔于餐前15min皮下注射;胰岛素泵连续皮下注射胰岛素组(continuoussubcutaneousinsulininjection.CSⅡ)22例,采用诺和灵R笔芯放置于美国产美敦力胰岛素泵内,将胰岛素持续缓慢皮下注射。结果两种治疗方法平均高血糖控制天数:CSⅡ组:(7.3±4.5)d,MSⅡ组:(20.4±7.5)d,(P<0.01),两组间有极显著的差异。CSⅡ组低血糖发生率低于MSⅡ组,CSⅡ组:(0.8±1.1)次/人;MSⅡ组:(1.8±2.4)次/人,(P<0.05)。结论胰岛素泵用于急性脑卒中患者高血糖的调控疗效好,安全性好,能更快、更有效地控制血糖,减少低血糖发生,能有效促进脑功能恢复。
Objective To make a comparison of the time and the effect on high blood sugar adjustment and control for acute cerebral infarction patients by using subcutaneous insulin injection and insulin pump. Methods 22 patients were given multi subcutaneous insulin（MSⅡ）injection 15 minutes before meal by using Nuoheling Pen with a R refill in it. 22 patients were given continuous subcutaneous insulin injection（CSⅡ） by putting a R refill into a Dunli insulin pump made in USA. Results The average days of high blood sugar control with the two methods were （7.3±4.5） d in group CSII and （20.4±7.5d in group MSⅡ （P〈0.01）. There was a great difference between the two groups, The rate of low blood sugar in group CSII was lower than that in group MSⅡ. In group CSII, it was （0.8±1.1） while itwa （1.82±2.4） in group MSⅡ（P〈O. 05）. Conclusions The treatment of acute cerebral infarction with the insulin pump is not only effective, but also safe and quick. It can control the blood sugar and promote the brain functional recovery more effectively It can cut down the rate of low blood sugar as well.
出处
《国际医药卫生导报》
2006年第16期69-71,共3页
International Medicine and Health Guidance News
关键词
胰岛素泵
急性脑卒中
高血糖
Insulin pump Acute stroke High blood sugar
