摘要
目的对胰岛素强化治疗糖尿病住院患者发生低血糖概率及相关危险因素进行分析。方法方便选取2014年3月—2017年3月在该院收治的糖尿病患者50例,依照住院治疗的方法的不同分为观察组与参考组各25例,两组患者分别采用持续皮下胰岛素注射与多次皮下预混胰岛素注射,对两组患者发生低血糖的概率进行分析,并探讨低血糖发生危险因素。结果观察组与参考组患者低血糖发生率分别为36%、56%,比较差异有统计学意义(P﹤0.05),低血糖发生组患者与未发生低血糖患者比较,年龄、住院时间、BMI、血肌酐、血糖达标时间、代谢异常、糖尿病并发症等发生率比较差异有统计学意义(P<0.05),多因素回归分析结果表明,BMI、血肌酐、脂代谢异常是导致低血糖发生的独立危险因素(P<0.05)。结论使用胰岛素泵持续皮下胰岛素注射能够降低低血糖的发生率,在进行胰岛素治疗时,要合理监控评估低血糖发生风险因素并给予对应的治疗方式。
Objective To analyze the incidence rate of low blood glucose and related risk factors of insulin enhancement treatment of diabetes inpatients. Methods 50 cases of diabetes patients treated in our hospital from March 2014 to March2017 were conveniently selected and divided into two groups with 25 cases in each according to treatment methods, both groups respectively adopted the continuous subcutaneous insulin injection and multiple subcutaneous premixed insulin injection, and the probability of low blood glucose of the two groups was analyzed and the risk factors of low blood glucose was studied. Results The incidence rate of blood glucose in the observation group and the in the reference group was respectively 36% and 56%, and the difference was statistically significant（P〈0.05）, and there were obvious differences in the age, length of stay, BMI, standards-reaching time of blood glucose, metabolic disorder and incidence rate of diabetes complications（P〈0.05）, and all of these factors were the independent risk factors（P〈0.05）. Conclusion The application of continuous subcutaneous insulin injection by insulin pump can reduce the incidence rate of low blood glucose, and we should rationally monitor and evaluate the risk factors of low blood glucose and adopt the corresponding treatment method.
出处
《中外医疗》
2017年第15期118-120,共3页
China & Foreign Medical Treatment
