Clinical Effect of Short-term Intensive Insulin Pump Treatment on Stroke Patients with Type 2 Diabetes Mellitus
Objective To explore the clinical effect of short-term intensive insulin pump treatment on stroke patients with type 2 diabetes mellitus(T2DM).Methods A total of 70 patients with stroke complicated with T2DM who were admitted in Xuchang People's Hospital from March 2019 to March 2020 were selected as the research objects,and they were randomly divided into the study group(35 cases)and the control group(35 cases)using a random number table method.The control group was given subcutaneous insulin injection to lower blood sugar,and the study group was given insulin pump to strengthen blood sugar lowering.After 2 weeks of treatment,the clinical efficacy,blood sugar control,pancreatic islet function and motor function were compared in the two groups.Results The effective rate of treatment in the study group(94.29%)was higher than that in the control group(71.43%),and the difference was statistically significant(P＜0.05).After treatment,the levels of fasting blood glucose(FPG)and 2 h postprandial blood glucose(2hPG)in both groups were decreased(P＜0.05),in comparision of the control group,the level of the study group was lower,and the difference was statistically significant(P＜0.05).After treatment,the area under the insulin curve(AUC)and islet beta cell function index(HOMA-β)in both groups were increased,and in comparision of the control group,the study group was higher,and the difference was statistically significant(P＜0.05).After treatment,Fugl-Meyer motor function assessment(FMA)scores in both groups were improved,and in comparision of the control group,the scores in the study group were higher,and the difference was statistically significant(P＜0.05).Conclusion Intensive short-term insulin pump therapy for stroke patients with T2DM can control blood sugar levels,improve islet function and motor
type 2 diabetesstrokeintensive short-term insulin pump therapyblood sugar control
国家科技期刊平台
NSTL
万方数据
