老年糖尿病患者合并感染后胰岛素泵强化治疗效果

李咏梅

[摘要] 目的 探讨胰岛素泵强化治疗老年糖尿病合并感染后患者的影响，以提供有效的治疗方法。方法 选择 2018 年 5 月— 2019 年 4 月该院收治的50例老年糖尿病合并感染患者。随机分配为两组，对照组 25 例，实施多次胰岛素皮下注射治疗;研究组25例，实施持续皮下胰岛素输注治疗。比较两组β细胞功能指标及基本治疗情况。 结果 研究组β细胞功能指标明显提高，研究组比对照组的基本治疗情况好，差异有统计学意义（P<0.05）。 结论 使用胰岛素泵强化治疗能改善老年糖尿病患者胰岛β细胞功能，可有效平稳的降血糖，血糖达标时间更短，胰岛素使用量更少，控制感染情况更明显。

[关键词] 胰岛素泵;老年糖尿病;合并感染

[中图分类号] R587.1          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0034-03

Effect of Intensive Insulin Pump Treatment in Elderly Diabetic Patients with Infection

LI Yong-mei

Hospital of Traditional Chinese Medicine， Bazhou， Hebei Province， 065700 China

[Abstract] Objective To investigate the effect of intensive insulin pump treatment on elderly patients with diabetes complicated by infection in order to provide effective treatment methods. Methods A total of 50 elderly patients with diabetes complicated with infection from May 2018 to April 2019 were selected. Randomly divided into two groups， 25 patients in the control group received multiple subcutaneous insulin injections; 25 patients in the study group received continuous subcutaneous insulin infusion. The β-cell function indicators and basic treatment were compared between the two groups. Results The β-cell function index of the study group was significantly improved; the basic treatment of the study group was better than the control group. The differences were statistically significant（P<0.05）. Conclusion Intensive treatment with insulin pump can improve the islet β-cell function in elderly patients with diabetes， which can effectively and smoothly lower blood glucose， the blood glucose reaching the standard time is shorter， the use of insulin is less， and the control of infection is more obvious.

[Key words] Insulin pump; Senile diabetes; Co-infection

我國人口老龄化的比例不断提升，老年糖尿病的发病率也明显上升，在基数增加的情况下，合并肺部感染或尿路感染的老年患者受到医疗界的广泛关注。感染加重患者病情，提高糖尿病并发症发生率，威胁患者生命安全。胰岛素作为治疗糖尿病合并感染的常用药物，主要有胰岛素皮下注射和胰岛素泵强化治疗两种方式[1]。胰岛素泵强化治疗即胰岛素持续皮下输注，通过模拟正常人体胰岛素分泌，为患者提供基础输注量，有利于控制血糖且低血糖发生率低，很大程度上改善了患者的预后[2]。该次实验选择该院 2018 年 5 月—2019 年 4 月 50例临床确诊为老年糖尿病合并感染患者，通过对比多次皮下注射胰岛素与胰岛素泵对老年糖尿病合并感染患者的疗效评价，分析胰岛素泵强化治疗是否值得加强临床应用，现报道如下。

1  资料与方法

1.1  一般资料

选择该院 50 例老年糖尿病合并感染患者。……