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目的:探讨糖尿病酮症酸中毒的临床急诊抢救经验。方法:以我院于近年收治的糖尿病酮症酸中毒患者74例作为研究对象,分为对照组和观察组。对照组在常规治疗基础上采取持续静脉注射胰岛素的方式进行治疗,观察组患者在常规治疗基础上采取胰岛素泵持续皮下输注胰岛素的方式进行治疗。结果:观察组尿酮体转阴时间、胰岛素用量及低血糖发生情况均优于对照组,并具有显著差异(P<0.05)。结论:在常规治疗基础上采取胰岛素泵持续皮下输注胰岛素的方式进行抢救治疗,能够加快尿酮体转阴,减少胰岛素总量及低血糖发生率。
Objective: To investigate the experience of clinical emergency treatment of diabetic ketoacidosis. Methods: 74 cases of diabetic ketoacidosis admitted to our hospital in recent years were divided into control group and observation group. The control group was treated with continuous intravenous injection of insulin on the basis of routine treatment. The patients in the observation group were treated with sustained subcutaneous infusion of insulin on the basis of conventional treatment. Results: The urinary ketone body time, insulin dosage and hypoglycemia in observation group were better than those in control group (P <0.05). Conclusion: The routine treatment of insulin pump subcutaneous infusion of insulin for rescue treatment, can speed up urine ketone body turn negative, reduce the total amount of insulin and hypoglycemia.