胰岛素泵治疗儿童1型糖尿病临床效果初评.docVIP

精品论文 参考文献 胰岛素泵治疗儿童1型糖尿病临床效果初评 吕洁 张妮 　　（重庆医科大学附属儿童医院 重庆 400014） 　　【摘要】 目的：探讨胰岛素泵在治疗儿童1型糖尿病的临床效果。方法：选取2013年1月至2015年1月于我院接受治疗的儿童1型糖尿病患儿24例，将患儿随机分为两组，治疗组和对照组患者各12例。对照组给予常规皮下注射治疗，治疗组在给予患儿胰岛素泵治疗。对比两组患儿治疗前后的综合疗效。结果：治疗组的血糖达标所用时间、一天内尿糖达标所用时间、住院时间均明显低于对照组；治疗组患儿每天低血糖发生例数、清晨血糖、每天胰岛素用量以及每日血糖变化平均值也较对照组要低（Plt;0.05），其间差异均具有统计学意义。即治疗组的综合疗效高于对照组。结论：临床上采用胰岛素泵治疗儿童1型糖尿病，能有效提高该疾病的治疗水平，获得较为理想的治疗效果。 　　【关键词】 胰岛素泵；儿童1型糖尿病；皮下注射 　　【中图分类号】R587.1 【文献标识码】A 【文章编号】2095-1752（2015）17-0170-02 　　【Abstract】objective To study the insulin pump in the treatment of children with type 1 diabetes clinical effect. Methods between January 2013 and January 2013 in our hospital for treatment of 24 cases of children with type 1 diabetes in children, children were randomly divided into two groups, the treatment group and control group patients (n = 12). Control group given conventional subcutaneous injection treatment, the treatment group was given with insulin pump therapy. Contrast the comprehensive efficacy of two groups of children before and after treatment. Results The treatment group used blood glucose control is at the time, within a day of diabetes to mark the time, length of hospital stay were significantly lower than the control group; Treatment group with hypoglycemia occurs every day the number of cases, blood sugar, insulin every day in the morning, and the daily average blood sugar change is lower than the control group (P lt; 0.05), statistically significant difference were observed in the meantime. That is, the comprehensive curative effect of treatment group is higher than the control group. Conclusion The clinical treatment of children with type 1 diabetes using insulin pump, can effectively improve the treatment of the disease, to obtain ideal therapeutic effect. 　　【Key words】Insulin pump; Children with type 1 diabetes; Subcutaneous injection 　　胰岛素泵是模拟人体胰腺释放胰岛素的一种装置，其中包含有贮存胰岛素的储药罐，连接一个有小针头的软管，小针头植入皮下，通过可以控制储药罐的微电脑将胰岛素以一定释放程序，按照基础量和餐前量的形式连续输注到人体，注入过程模拟正