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胰岛素泵联合门冬胰岛素治疗2型糖尿病重型颅脑损伤的临床观察

赵艳荣 董淑芬 姚琳 李向民 陈淑荣 李杰 唐合春 金秀平

局解手术学杂志2011,Vol.20Issue(1):50-52,3.
局解手术学杂志2011,Vol.20Issue(1):50-52,3.

胰岛素泵联合门冬胰岛素治疗2型糖尿病重型颅脑损伤的临床观察

Clinical efficacy of insulin pump combined with insulin aspart for type 2 diabetes mellitus complicated with severe craniocerebral injury

赵艳荣 1董淑芬 1姚琳 1李向民 1陈淑荣 1李杰 1唐合春 1金秀平2

作者信息

  • 1. 昌黎县人民医院内分泌科,河北,秦皇岛066600
  • 2. 华北煤炭医学院附属医院内分泌科,河北,唐山,063000
  • 折叠

摘要

Abstract

Objective To investigate the therapeutic effect of continuous subcutaneous insulin aspart injection (CSII) on type 2 diabetes mellitus complicated with severe craniocerebral injury. Methods Totally 87 patients with type 2 diabetes mellitus and severe craniocerebrai injury were selected (GCS score lower than eight point) and randomized into continuous subcutaneous insulin aspart pump injection group ( CSII group, n = 42) and multiple subcutaneous human insulin injection ( MSII group, n = 45 ). After treatment, the levels of blood glucose, glycemic control time, daily insulin dosage, incidence of hypoglycemia, effective percentage of severe craniocerebral injury and hospitalization duration were compared between two groups. Results The levels of fast blood glucose and random blood glucose were significantly lowered after treatment in both groups,and the decreasing extent was more obvious in CSII group than that in MSII group (P <0.05). Significant differences were observed in glycemic control time,daily insulin dosage,incidence of hypoglycemia,effective percentage of severe craniocerebral injury and hospitalization duration between two groups ( P < 0.05 ). Conclusion Insulin pump combined with insulin aspart is effective for type 2 diabetes mellitus complicated with severe craniocerebral injury. It can effective control blood glucose, shorten glycemic control time and hospitalization duration,reduce daily insulin dose and incidence of hypoglycemia as well as increase effective percentage of severe craniocerebral injury.

关键词

2型糖尿病/重型颅脑损伤/胰岛素泵联合门冬胰岛素/皮下胰岛素注射

分类

医药卫生

引用本文复制引用

赵艳荣,董淑芬,姚琳,李向民,陈淑荣,李杰,唐合春,金秀平..胰岛素泵联合门冬胰岛素治疗2型糖尿病重型颅脑损伤的临床观察[J].局解手术学杂志,2011,20(1):50-52,3.

局解手术学杂志

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