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目的:观察持续皮下胰岛素输注法(CSII)对糖尿病患者强化血糖的控制效果。方法:35例糖尿病患者随机分为CSII组(15例)和常规多次皮下注射法(MDI)组(20例),进行强化胰岛素治疗。结果:CSII组血糖控制达标的时间和胰岛素的用量明显少于MDI组;CSII组的低血糖的发生率较低,并且能较有效地控制黎明现象的发生。结论:CSII是短期糖尿病患者强化血糖控制较理想的方法。
Objective: To observe the effect of continuous subcutaneous insulin infusion (CSII) on the blood glucose control in diabetic patients. Methods: Thirty-five patients with diabetes were randomly divided into CSII group (n = 15) and conventional multiple subcutaneous injection (n = 20) for intensive insulin treatment. Results: The duration of glycemic control and the dosage of insulin in CSII group were significantly less than those in MDI group. The incidence of hypoglycemia in CSII group was lower and the incidence of dawn was more effectively controlled. Conclusion: CSII is an ideal method to strengthen glycemic control in short-term diabetic patients.