首页|短期胰岛素泵强化治疗对2型糖尿病患者血糖水平、糖脂代谢、胰岛素抵抗的影响

短期胰岛素泵强化治疗对2型糖尿病患者血糖水平、糖脂代谢、胰岛素抵抗的影响

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目的 探讨短期胰岛素泵强化治疗对2型糖尿病患者血糖水平、糖脂代谢、胰岛素抵抗的影响.方法 目的选取2022年1月—2023年1月广州中医药大学顺德医院附属均安医院收治的60例2型糖尿病患者,根据治疗方法不同分为研究组和对照组.对照组(30例)采用胰岛素治疗,研究组(30例)则采用短期胰岛素泵强化治疗,对比两组的临床疗效,不良反应,脂代谢水平,血糖水平以及胰岛素相关指标.结果 研究组治疗有效率100.00%(30/30)高于对照组80.00%(24/30),差异有统计学意义(χ2=4.630,P<0.05).研究组不良反应总发生率低于对照组,但差异无统计学意义(P>0.05).治疗后,研究组的高密度脂蛋白胆固醇水平高于对照组,而低密度脂蛋白胆固醇、甘油三酯、总胆固醇水平则明显低于对照组,差异有统计学意义(P均<0.05).研究组糖化血红蛋白、空腹血糖、餐后2 h血糖低于对照组,差异有统计学意义(P均<0.05).研究组胰岛素抵抗指数、空腹胰岛素低于对照组,胰岛素分泌指数高于对照组,差异有统计学意义(P均<0.05).结论 短期胰岛素泵强化治疗在针对2型糖尿病患者时,治疗效果较好,安全性较高,并有效调节患者的糖脂代谢,改善胰岛素分泌.
Effect of Short-term Intensive Insulin Pump Therapy on Blood Glucose Level,Glycolipid Metabolism and Insulin Resistance in Type 2 Diabetic Pa-tients
Objective To investigate the effects of short-term intensive insulin pump therapy on blood glucose level,glucose lipid metabolism and insulin resistance in type 2 diabetes patients.Methods A total of sixty patients with type 2 diabetes in Jun'an Hospital Affiliated to Shunde Hospital of Guangzhou University of Traditional Chinese Medicine from January 2022 to January 2023 were objectively selected.According to different treatment methods,the partici-pants were divided into study group and control group.The control group(thirty cases)was treated with insulin,and the study group(thirty cases)was treated with short-term intensive insulin pump.The clinical efficacy,adverse reac-tions,lipid metabolism level,blood sugar level and insulin related indexes of the two groups were compared.Results The effective rate of the study group was 100.00% (30/30),higher than 80.00%(24/30)of the control group,the differ-ence was statistically significant(χ2=4.630,P<0.05).The total incidence of adverse reactions in the study group was lower than that in the control group,and the difference was not statistically significant(P>0.05).After treatment,the level of high density lipoprotein-cholesterol in the study group was higher than that in the control group,the levels of low density lipoprotein-cholesterol,triglycerides,and total cholesterol were lower than those of control group,the dif-ferences were statistically significant(all P<0.05).The HBA1c,fasting blood glucose and 2h postprandial blood glu-cose in the study group were lower than those in the control group,the differences were statistically significant(all P<0.05).The HOMA-IR and FINS were lower thanthose in the control group,and HOMA-β was higher than that in the control group,the differences were statistically significant(all P<0.05).Conclusion Short-term intensive insulin pump therapy is effective and safe in patients with type 2 diabetes,and can effectively regulate glucose and lipid me-tabolism and improve insulin secretion.

Type 2 diabetes mellitusShort-term insulin pumpBlood sugar levelsGlycolipid metabolismInsulin resistance

黄剑文、范海聆、钟楚燕

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广州中医药大学顺德医院附属均安医院内二科,广东 佛山 528329

2型糖尿病 短期胰岛素泵 血糖水平 糖脂代谢 胰岛素抵抗

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(17)