【摘要】 目的观察使用胰岛素泵持续皮下注射胰岛素治疗初发2型糖尿病合并酮症酸中毒的疗效及效益比。方法使用胰岛素泵持续皮下注射胰岛素,根据血糖情况调节胰岛素用量,观察血糖和酮症纠正的情况。结果(1)所有72例患者的血糖自使用前的(26.5±9.3)mmol/L下降至达标值(8.5±1.8)mmol/L。(2)D-3-羟丁酸从治疗前的(605±113)IU/L降至正常,需要1～4d,平均需要(2.1±0.9)d。(3)胰岛素泵治疗患者经济费用较其他治疗方式发生医疗费用明显减少。结论胰岛素泵治疗初发2型糖尿病合并酮症酸中毒疗效满意,胰岛素的用量易于控制,方便病人活动,操作简便。适用于治疗初发2型糖尿病合并酮症酸中毒的患者。更多还原

【Abstract】 Objective To explore the therapy effect and effectiveness of continuous subcutaneous insulin infu- sion in treatment of diabetic ketoacidosis.Methods Using the insulin pump keeps on subcutaneous injection in- sulin,regulating insulin dosage according to the blood sugar circumstance,Observing blood sugar and ketosis dis- ease rectifies of circumstance.Results(1)Blood sugar in all patients descended from(26.5±9.3)mmol/L to target values(8.5±1.8)mmol/L after treatmen.(2)D-3-hydroxybutyric acid from the pre-treatment (605±113)IU/L to normal,need 1-4 days on an average of(2.1±0.9)days.(3)costs of treatment of patients with insulin pump were less than those of other treatment modalities.Conclusion The effects of insulin pump therapy in newly-diagnosed type 2 diabetes ketoacidosis is satisfactory completel,and the insulin dosage is easy to control,facilitate patient activities,simple operation.更多还原