胰岛素泵联合动态血糖监测系统在糖尿病治疗中的短期应用

摘要

Objective:To discuss the application of continuous subcutaneous insulin infusion (CSII) combined with continuous glucose monitoring system(CGMS)in controlling glucose.Methods:60 patients suffering from diabetes were divided into two groups.The experimental group was treated with CSII and CGMS. The control group was applied with several times of subcutaneous injection of insulin and finger glucose monitoring to adjust insulin dosage.The levels of glucose of the two groups were observed after 4 days of treatment. Results:After 4 days the levels of glucose in the trial group were controlled much better than that in the control group at different points in time (Fasting,2 hours after breakfast,2 hours after lunch,2 hours after super,22:00,2:00 AM),with significant statistical difference (P<0.01).Conclusion:It can control glucose well the whole day that the treatment combined with CSII and CGMS is proformed in diabetes patients.The application of CGMS can master fluctuations of glucose completely .Taken joint can optimize the dosage of insulin regulation.%目的:探讨胰岛素泵(CSII)联合动态血糖监测系统(CGMS)对血糖控制的效果.方法:将60例糖尿病患者随机分为试验组和对照组.试验组使用CSII联合CGMS调整胰岛素用量,对照组采用胰岛素多次皮下注射及手指血糖监测仪调整胰岛素用量,在治疗后第4天观察两组血糖控制情况.结果:试验组患者在接受胰岛素泵治疗4 d后各时间点的血糖(空腹,早餐后2 h,午餐后2 h,晚餐后2 h,22:00,02:00)控制情况明显好于对照组(P<0.01).结论:糖尿病患者进行CSII与CGMS联合应用,可良好控制患者全天血糖水平,CGMS能全面掌握糖尿病患者血糖波动,CSII和CGMS联合应用可以优化胰岛素用量调节.