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目的:观察危重患者强化胰岛素治疗后的疗效。方法:58例危重病伴高血糖患者随机分为治疗组(IT组)给予强化胰岛素治疗,血糖控制在4.4~6.1 mmol/L;对照组(CT组)给予常规胰岛素治疗,血糖控制在9.0~11.9mmol/L。结果:IT组中患者使用胰岛素天数、抗生素天数、住ICU天数、院内感染发生率、病死率均明显低于CT组。结论:强化胰岛素治疗控制危重患者血糖能降低患者的病死率。
Objective: To observe the effect of intensive insulin therapy in critically ill patients. Methods: 58 cases of critically ill patients with hyperglycemia were randomly divided into treatment group (IT group) given intensive insulin therapy, blood glucose control in 4.4 ~ 6.1 mmol / L; control group (CT group) given conventional insulin therapy, blood glucose control in 9.0 ~ 11.9 mmol / L. Results: The number of days of insulin, days of antibiotics, number of ICU days, nosocomial infection and fatality rate in IT group were significantly lower than those in CT group. Conclusion: Intensive insulin therapy to control blood glucose in critically ill patients can reduce the mortality of patients.