糖尿病合并老年股骨粗隆间骨折患者围术期应用胰岛素泵的效果
Effect of Perioperative Application of Insulin Pump in Elderly Patients with Diabetes Complicated with Intertrochanteric Fracture of Femur
戴艺绒 1杨雅燕 1章亚青1
作者信息
- 1. 中国人民解放军陆军第七十三集团军医院骨科,福建 厦门 361000
- 折叠
摘要
目的 探究合并老年股骨粗隆间骨折的糖尿病患者围术期应用胰岛素泵的价值.方法 回顾性选取2022年8月—2024年3月中国人民解放军陆军第七十三集团军医院接受固定术的100例糖尿病伴老年股骨粗隆间骨折患者的临床资料,根据不同控糖方式分为对照组(n=50,常规皮下注射胰岛素)、研究组(n=50,胰岛素泵治疗),比较两组糖代谢控制情况、临床疗效及并发症发生情况.结果 治疗后,两组各项糖代谢水平比较,研究组均低于对照组,差异有统计学意义(P均<0.05).与对照组比较,研究组临床疗效更高、并发症发生率更低,差异有统计学意义(P均<0.05).结论 合并老年股骨粗隆间骨折的糖尿病患者接受手术治疗期间选择胰岛素泵治疗,控糖效果显著,可提高临床疗效并降低并发症发生率.
Abstract
Objective To investigate the value of perioperative insulin pump in elderly diabetic patients with intertro-chanteric fracture of femur.Method Clinical data of 100 elderly patients with diabetes mellitus and intertrochanteric fracture of femur who received fixation in the 73rd Group Military Hospital of the Chinese People's Liberation Army from August 2022 to March 2024 were retrospectively selected.According to different glucose control methods,they were divided into control group(n=50,routine subcutaneous insulin injection)and study group(n=50,insulin pump treatment).The control of glucose metabolism,clinical efficacy and complications were compared between the two groups.Results After treatment,the levels of glucose metabolism were lower in the study group,and the differences were statistically significant(all P<0.05).Compared with the control group,the study group had higher clinical effi-cacy and lower complication rate,and the differences were statistically significant(both P<0.05).Conclusion In el-derly diabetic patients with intertrochanteric fracture of femur,insulin pump therapy during surgical treatment has a remarkable effect on glucose control,which can improve clinical efficacy and reduce the incidence of complications.
关键词
股骨粗隆间骨折/糖尿病/内固定术/糖代谢/胰岛素泵/临床疗效Key words
Intertrochanteric femur fracture/Diabetes mellitus/Internal fixation/Insulin pump/Glucose metabolism/Clinical efficacy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据