邓军杰

[摘要] 目的 探讨老年糖尿病患者合并感染后胰岛素泵强化治疗的有效性分析。方法 选取该院2014年1月—2016年1月期间收治的90例老年糖尿病合并感染患者的临床资料，按照其入院顺序，随机分为对照组（n=45）和观察组（n=45）。对照组患者给予常规胰岛素强化皮下注射治疗；观察组患者给予胰岛素泵强化治疗。比较两组患者治疗前与治疗后的血糖指标变化，统计其感染控制时间与低血糖发生率。结果 两组患者治疗前的糖尿病相关指标比较，差异无统计学意义（P>0.05）；在治疗后，观察组患者的血糖指标相对低于对照组，差异有统计学意义（P<0.05）；观察组患者感染控制时间短于对照组，低血糖发生率低于对照组，差异有统计学意义（P<0.05）。结论 对老年糖尿病患者合并感染后给予胰岛素泵强化治疗能快速的控制其血糖，抑制感染，且低血糖发生率较低，是临床效果有效与安全的一种治疗方案。

[关键词] 老年糖尿病合并感染；胰岛素泵；强化治疗；有效性

[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062（2018）03（a）-0043-02

[Abstract] Objective To study the effectiveness of enhancement treatment of insulin pump of senile diabetes patients with infection. Methods 90 cases of senile patients with infection admitted and treated in our hospital from January 2014 to January 2016 were selected and randomly divided into two groups with 45 cases in each， the control group used the routine insulin enhanced subcutaneous injection， while the observation group used the insulin pump enhanced therapy， and the changes of blood glucose indexes before and after treatment were compared between the two groups， and the incidence rate of hypoglycemia and infection control time were counted. Results The differences in the diabetes related indicators before treatment between the two groups were not obvious， without statistical significance（P>0.05）， after treatment， the blood glucose indexes in the observation group were lower than those in the control group， and the differences were statistically significant（P<0.05），and the infection control time in the observation group was shorter than that in the control group， and the incidence rate of hypoglycemia was lower than that in the control group and the difference was statistically significant（P<0.05）. Conclusion The insulin pump enhancement treatment in treatment of senile diabetes patients with infection can rapidly control the blood glucose and restrain the infection， with lower incidence rate of hypoglycemia， and it is an effective and safe treatment plan.

[Key words] Senile diabetes combined with infection； Insulin pump； Enhanced therapy； Effectiveness

目前，老年糖尿病患者數量不断增多，而其本身随着年龄的增长会出现身体机能衰退的现象，免疫力有所降低，自然感染发生率也就相对提高[1-4]。老年糖尿病患者合并感染后，必须要及时进行治疗，才能将损害将至最低[5-7]。该院选取2014年1月—2016年1月收治的90例患者为研究对象，以胰岛素泵强化治疗老年糖尿病合并感染患者，取得了较好的效果。现报道如下。

1 资料与方法

1.1 一般资料

选取该院收治的90例老年糖尿病合并感染患者的临床资料，按照其入院顺序，随机分为对照组（n=45）和观察组（n=45）。在对照组中，男23例，女22例，年龄介于65～83岁，平均年龄（69.91±3.37）岁，糖尿病病程3～16年，平均病程（8.38±1.23）年，平均感染至入院时间（1.32±0.34）d；在观察组中，男24例，女21例，年龄介于64～84岁，平均年龄（69.03±3.45）岁，糖尿病病程3～17年，平均病程（8.34±1.34）年，平均感染至入院时间（1.43±0.32）d。将……