糖尿病新世界2024,Vol.27Issue(8) :53-56.DOI:10.16658/j.cnki.1672-4062.2024.08.053

糖尿病合并髋部骨折患者围术期应用胰岛素连续滴注法的临床效果分析

Clinical Effect Analysis of Perioperative Continuous Insulin Infusion in Pa-tients with Diabetes Mellitus Complicated with Hip Fracture

张传亮 田增军
糖尿病新世界2024,Vol.27Issue(8) :53-56.DOI:10.16658/j.cnki.1672-4062.2024.08.053

糖尿病合并髋部骨折患者围术期应用胰岛素连续滴注法的临床效果分析

Clinical Effect Analysis of Perioperative Continuous Insulin Infusion in Pa-tients with Diabetes Mellitus Complicated with Hip Fracture

张传亮 1田增军2
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作者信息

  • 1. 费县梁邱中心医院骨科,山东 临沂 273400
  • 2. 兰山区义堂中心医院骨科,山东 临沂 276000
  • 折叠

摘要

目的 分析胰岛素连续滴注法治疗在糖尿病合并髋部骨折患者围术期中的作用.方法 选取2022年10月—2023年10月费县梁邱中心医院收治的62例糖尿病合并髋部骨折患者为研究对象,根据双盲法将上述患者分为对照组(多次皮下胰岛素注射治疗)和观察组(胰岛素连续滴注法治疗),各31例.比较两组血糖控制情况、不良反应发生率及围术期相关指标.结果 治疗后,观察组血糖指标水平低于对照组,差异有统计学意义(P<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).观察组血糖达标时间、切口愈合时间、住院时间均短于对照组,观察组胰岛素用量少于对照组,差异有统计学意义(P均<0.05).结论 胰岛素连续滴注法治疗在糖尿病合并髋部骨折患者围术期中的效果突出,有利于提高血糖控制效果,促进骨折的愈合.

Abstract

Objective To analyze the effect of continuous insulin infusion in the perioperative period of patients with diabetes mellitus complicated with hip fracture.Methods Sixty-two patients with diabetes mellitus complicated with hip fracture admitted to Fei County Liangqiu Central Hospital from October 2022 to October 2023 were selected as the study objects.According to the double-blind method,the above patients were divided into the control group(mul-tiple subcutaneous insulin injection treatment)and the observation group(continuous insulin infusion treatment),with thirty-one cases each.Blood glucose control,incidence of adverse reactions and perioperative related indexes were compared between the two groups.Results After treatment,the blood glucose index level of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The blood glucose standard time,incision healing time and hospital stay in the observation group were shorter than those in the control group,and the insulin dosage in the observation group was lower than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion The effect of continuous insulin infu-sion in the perioperative treatment of diabetic patients with hip fracture is outstanding,which is beneficial to improve the blood glucose control effect and promote the healing of fracture.

关键词

糖尿病/髋部骨折/围术期/胰岛素连续滴注法/不良反应

Key words

Diabetes mellitus/Hip fracture/Perioperative period/Continuous insulin infusion/Adverse reaction

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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
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