目的探讨胰岛素泵应用于糖尿病合并肺部感染患者的临床疗效及护理,以提高临床疗效。方法将48例2型糖尿病合并肺部感染患者,随机分为对照组和观察组,每组各24例,对照组为多次皮下注射给药及常规护理,观察组为胰岛素泵皮下连续注射给药及相关护理,观察和比较两组临床疗效、患者满意度、低血糖发生频率,以及平均住院天数。结果观察组总有效率100.0%、患者满意度70.8%显著高于对照组的75.0%、41.7%;低血糖发生频率(0.8±0.5)例次、平均住院天数(8.5±2.0)d显著缩短,差异有统计学意义(P〈0.05)。结论对于糖尿病合并肺部感染患者,胰岛素泵给药及相关护理干预,显著提高了临床疗效,改善患者的预后质量,值得临床推广。
OBJECTIVE To study the clinical efficacy of insulin pump in nursing of the diabetes patients complicated with pulmonary infections so as to improve the clinical efficacy. METHODS Totally 48 cases of diabetes patients complicated with pulmonary infections were randomly divided into the control group and the observation group with 24 cases in each, then the control group was given the multiple subcutaneous injection administration of anti- microbial agents and routine nursing, the observation group was treated with the continuous subcutaneous injection administration of antimicrobial agents with insulin pump and relevant nursing measures, and the clinical efficacy, patients satisfaction, incidence of hypoglycemia, and average hospitalization duration were observed and compared between the two groups. RESULTS The total effective rate of the observation group was 100.0%, significantly higher than 75.0% of the control group; the rate of the patients satisfaction of the observation group was 70.8%, significantly higher than 41.7% of the control group; the hypoglycemia occurred in (0. 8± 0. 5) case-times of patients, the average hospitalization duration was (8.5 ±2.0)d , which was significantly shortened, the difference was statistically significant (P〈0.05). CONCLUSION The insulin pump administration of drugs combined with corresponding nursing interventions for the diabetes patients ly raised the clinical efficacy and improved the prognosis, it complicated with pulmonary infections has significant is worthy to be promoted in the hospital.