糖尿病新世界2024,Vol.27Issue(1) :182-185.DOI:10.16658/j.cnki.1672-4062.2024.01.182

血必净联合胰岛素泵对糖尿病酮症酸中毒患者氧化应激及血糖控制的影响

Effects of Xuebijing Combined with Insulin Pump on Oxidative Stress and Blood Glucose Control in Diabetic Ketoacidosis Patients

张丽萍
糖尿病新世界2024,Vol.27Issue(1) :182-185.DOI:10.16658/j.cnki.1672-4062.2024.01.182

血必净联合胰岛素泵对糖尿病酮症酸中毒患者氧化应激及血糖控制的影响

Effects of Xuebijing Combined with Insulin Pump on Oxidative Stress and Blood Glucose Control in Diabetic Ketoacidosis Patients

张丽萍1
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作者信息

  • 1. 临沂市第三人民医院重症医学科,山东临沂 276023
  • 折叠

摘要

目的 探究血必净联合胰岛素泵对糖尿病酮症酸中毒(Diabetic Ketoacidosis,DKA)患者氧化应激及血糖控制的影响.方法 选择2020年1月—2022年12月临沂市第三人民医院收治的DKA患者80例为研究对象,按随机数表法分为对照组和观察组,各40例.对照组给予甘精胰岛素注射液治疗,观察组在对照组基础上给予血必净注射液治疗.对比两组的氧化应激指标、血糖指标、酸中毒指标、临床症状改善时间和不良反应发生情况.结果 治疗后,观察组丙二醛(Malondialdehyde,MDA)低于对照组,超氧化物歧化酶(Superoxide Dismutase,SOD)和三羧酸循环(Tricarboxylic Acid Cycle,TAC)高于对照组,差异有统计学意义(P均<0.05);治疗后,观察组餐后2 h血糖(2-hour Postprandial Blood Glucose,2 hPG)、空腹血糖(Fasting Plasma Glucose,FPG)和糖化血红蛋白(Glycated Hemoglobin,HbA1c)低于对照组,差异有统计学意义(P均<0.05);治疗后,观察组血乳酸(Lactic Acid,Lac)、血清β-羟丁酸(β-hydroxybutyric Acid,β-HB)低于对照组,二氧化碳结合力(Carbon Dioxide Combining Power,CO2CP)和血清硫胺素浓度高于对照组,差异有统计学意义(P均<0.05);观察组血糖达标时间、尿酮体转阴时间和pH值恢复时间优于对照组,差异有统计学意义(P均<0.05);两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 血必净联合胰岛素泵治疗对DKA患者的氧化应激指标有所改善,可降低血糖,改善酸中毒现象,减少临床症状改善时间,不良反应发生率低.

Abstract

Objective To explore the effects of Xuebijing combined with insulin pump on oxidative stress and blood glucose control in patients with diabetic ketoacidosis(DKA).Methods A total of eighty patients with DKA admitted to Linyi Third People's Hospital from January 2020 to December 2022 were selected and divided into control and obser-vation groups according to random number table method,with forty patients in each group.Control group was given in-sulin glargine injection,observation group was given Xuebijing injection on the basis of control group.The indexes of oxidative stress,blood glucose,acidosis,improvement time of clinical symptoms and occurrence of adverse reactions were compared between the two groups.Results After treatment,malondialdehyde(MDA)in observation group was lower than that in control group,superoxide dismutase(SOD)and tricarboxylic acid cycle(TAC)were higher than those in control group,and the differences were statistically significant(all P<0.05).After treatment,2-hour postpran-dial blood glucose(2 hPG),fasting blood glucose(FPG)and glycosylated hemoglobin(HbA1c)in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).After treatment,blood lactic acid(Lac)and serum β-hydroxybutyric acid(β-HB)in observation group were lower than those in con-trol group,carbon dioxide binding power(CO2CP)and serum thiamine concentration were higher than those in control group,and the differences were statistically significant(all P<0.05).The time of blood glucose standard,urine ketone body negative time and pH recovery time in observation group were better than those in control group,and the differ-ences were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reac-tions between the two groups(P>0.05).Conclusion Xuebijing combined with insulin pump can improve the oxidative stress index of DKA patients,reduce blood glucose,improve acidosis,reduce the improvement time of clinical symp-toms,and reduce the incidence of adverse reactions.

关键词

糖尿病酮症酸中毒/血必净/胰岛素泵/氧化应激/血糖

Key words

Diabetic ketoacidosis/Xuebijing/Insulin pump/Oxidative stress/Blood glucose

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出版年

2024
糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
参考文献量12
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