摘要
目的比较不同降糖策略对2型糖尿病合并慢性阻塞性肺疾病(COPD)患者急性期的影响。方法选择2型糖尿病合并COPD急性期的患者随机分为治疗组(30例)和对照组(27例),治疗组改用胰岛素控制血糖,对照组仍继续口服降糖药,2组抗感染治疗相同,观察两组血糖控制情况、抗感染有效率和病程。结果2组血糖达标率无显著性差异,抗感染有效率分别为86.7%和81.5%("P=0.72"),但平均住院天数治疗组显著少于对照组("P=0.039")。结论不同降糖策略不影响抗感染有效率,但能影响病程,采取胰岛素控制血糖能缩短病程。
Objective To compare the clinical effects of different blood sugar controlling methods on AECOPD associated with type 2 diabetes. Methods Fifty-six patients were randomly divided into treatment group （30 cases） and control group （27cases）. Insulin was used in treatment group and OADS in control group to decrease blood sugar. Both groups were given same anti-infective therapy. Blood sugar controlling rates, anti-infectious effective power and course of disease were analyzed. Results There was no difference in blood sugar controlling rates and anti-infectious effective power within two groups, however, treatment group has significantly shorter average days in hospital than control group （p=0.039）. Conclusions Different blood sugar controlling methods don＇t influence anti-infectious power but the pathogenesis. Insulin may shorten hospital stay in patients with AECOPD associated with type 2 diabetes.
出处
《当代医学》
2009年第21期60-61,共2页
Contemporary Medicine
关键词
肺疾病
慢性阻塞性
急性期
2型糖尿病
胰岛素
疗效
pulmonary disease
chronic obstructive
acute exacerbation
type 2 diabetes
insulin
