持续皮下胰岛素输注在2型糖尿病烧伤患者围手术期的应用研究

《持续皮下胰岛素输注在2型糖尿病烧伤患者围手术期的应用研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号13733中国图书分类号R587.1HebeiMedicalUniversity硕士学位论文学术学位持续皮下胰岛素输注在2型糖尿病烧伤患者围手术期的应用研究研究生：赵军强导师：刘岩副教授专业：内科学二级学院：河北医科大学第三医院2018年3月目录中文摘要········································································································1英文摘要······························

2、··············································································2英文缩写······································································································3研究论文持续皮下胰岛素输注在2型糖尿病烧伤患者围手术期的应用研究前言·······························································

3、··········································4资料与方法·······················································································5结果········································································································6附图······································

4、·······························································8附表···········································································································9讨论······························································································11结论·········

5、·······················································································19参考文献······················································································20综述胰岛素泵治疗糖尿病的研究进展··················································24致谢································

6、·············································································34个人简历··································································································35持续皮下胰岛素输注在2型糖尿病烧伤患者围手术期的应用研究摘要目的：研究胰岛素泵治疗在糖尿病烧伤患者围手术期的应用效果。方法：选取自2010年至2015年我院收住院治疗的2型糖尿病合并三度烧伤患者80例

7、，均于烧伤后3至5天行烧伤焦痂切痂＋自体刃厚皮移植术。将所有患者根据随机数字表法分为2组。观察组患者采用持续皮下胰岛素输注治疗（CSII）（n=40）；对照组患者采用每日多次胰岛素皮下注射治疗（MDSI）(n=40)。比较治疗前后观察组及对照组患者的血糖控制水平、总住院日数、低血糖率、日胰岛素总量以及植皮总有效率等观察指标的差别。结果：治疗前观察组及对照组患者在各个时间点上的血糖（毛细血管血糖）水平均无统计学上的差异（P均＞0.05）。两组患者治疗后各个时间点的血糖（毛细血管血糖）水平同治疗前相比，均显著下降。与同期MDSI组患者相比，CSII组患者在治疗后血

8、糖较下降更为明显，两组间差异具有统计学