ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-064 检验与方法 2025, (04)

微量泵持续泵入与静脉滴注小剂量胰岛素对 DKA 的疗效

利津县中心医院

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摘要

目的 对比微量泵持续泵入与静脉滴注小剂量胰岛素在糖尿病酮症酸中毒(DKA)中的疗效及安全性。方法 选取 2022 年 1 月至 2024 年 12 月在本院就诊的 60 例 DKA 患者,根据随机数表法分组,每组 30 例。两组均接受常规治疗,同时,对照组接受静脉滴注小剂量胰岛素治疗,而研究组则接受微量泵持续泵入治疗,对比两组疗效。结果 治疗后,研究组血糖水平低于对照组(P<0.05)。研究组血清指标改善时间短于对照组 (P<0.05)。此外,研究组并发症发生率低于对照组(P<0.05)。结论 微量泵持续泵入胰岛素治疗 DKA 相比静脉滴注小剂量胰岛素治疗,在降低血糖水平、缩短血清指标改善时间及减少并发症发生率方面的表现均更优。

Abstract

Objective To compare the efficacy and safety of continuous micro pump infusion and intravenous infusion of low-dose insulin in the treatment of diabetic ketoacidosis (DKA). Methods Sixty DKA patients who were admitted to our hospital from January 2022 to December 2024 were selected and randomly divided into groups of 30 patients each using a random number table. Both groups received conventional treatment, while the control group received intravenous low-dose insulin therapy, while the study group received continuous infusion therapy with a micro pump. Compared the therapeutic effects of two groups. Results After treatment, the blood glucose level in the study group were lower than in control group (P<0.05). The improvement time of serum indicators in the study group was shorter than that in the control group (P<0.05). In addition, the incidence of complications in the study group was lower than that in the control group (P<0.05). Conclusion Continuous infusion of insulin with a micro pump for the treatment of DKA is superior to intravenous infusion of low-dose insulin in reducing blood glucose level, shortening the improvement time of serum indicators, and reducing the incidence of complications.

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[1]刘宝健.微量泵持续泵入与静脉滴注小剂量胰岛素对 DKA 的疗效[J],2025,01(04):.