糖尿病患者胰岛素泵强化治疗规范化管理的有效性分析

目的 探讨糖尿病患者胰岛素泵强化治疗的规范化管理的有效性.方法 将糖尿病胰岛素泵使用患者60名,随机分为实验组和对照组各30名.按"糖尿病患者胰岛素泵强化治疗规范化管理方案"进行干预.观察血糖控制程度、用泵天数、胰岛素用量、低血糖发生、胰岛素泵相关故障及胰岛素泵知识、技能评价.结果 实验组血糖比对照组更快达标(P<0.05),低血糖及黎明现象发生率较对照组明显降低(P<0.01);针头脱落、导管堵塞、注射部位皮肤感染、胰岛素泵机械或电子故障等发生率也较对照组明显降低(P<0.01);胰岛素泵强化治疗理论及技能知识较对照组掌握更好(P<0.05).结论 糖尿病患者胰岛素泵强化治疗的规范化管理研究按临床科研的3个组成部分合理设计,达到研究目的.

Effective analysis of standard management of intensive treatment by insulin pump to tiabetic patients

Objective To analyze standard management study of intensive treatment by insulin pump to diabetes mellitus patients. Methods 60 diabetes mellitus patients of intensive treatment by insulin pump according were divided into experimental group and control group randomly. The patients in experimental were intervented according to "Standard management scheme of intensive treatment by insulin pump to diabetes mellitus patients". Norm:blood glucose controlling, number of days of normal, dose of insulin, hypoglycemic episodes,breakdown, knowledge, technique related insulin pump were evaluated. Results The level of blood glucose in experimental group reached norm much faster (P<0.05). The experimental group' hypoglycemic episodes and dawn phenomenon were lower than the control group (P<0.01). The breakdown related insulin pump in experimental group was lower than the control group sgificantly (P<0.01). The experimental group' theorical and technical knowledge related insulin pump were much better(P<0.05). Conclusions "Standard management scheme of intensive treatment by insulin pump to diabetes mellitus patients" designed reasonably, and accomplished study objective.