摘要目的 探讨胰岛素泵即持续皮下胰岛素输注(CSⅡ)改善磺脲类继发性失效的糖尿病患者的临床护理效果.方法 采用对照观察方法,将128例磺脲类继发性失效的糖尿病患者随机分为两组,CSII组和MSII(多次皮下注射胰岛素)组各64例,观察两种治疗方法在临床疗效、发生不良反应和护理效果的差异.结果 两组疗程均3周,监测控制血糖的指标,CSII组比MSII组强化治疗后达标效果较明显,(P＜0.05)；达到靶血糖所需时间也明显缩短,发生不良反应明显降低；两组对比护理效果显著,差异具有统计学意义(P＜0.05)；而CSII组皮肤、红、肿、痒发生率较高于MSII组.结论 CSII治疗能有效地控制血糖,能减少低血糖的发生,缓慢并发症的发展,提高了患者的生活质量,减轻了护理人员的工作量,提升了病人满意度.

abstractsObjective To explore the effect of clinical nursing care for patients undergoing continuous subcutaneous insulin infusion (CSII) to improve failed response to sulfonylureas.Methods 128 patients with failed response to sulfonylureas were randomly divided into two groups to receive CSII or multiple subcutaneous insulin injection (MSII),64 for each group.The clinical efficacy,adverse reactions,and the nursing effect were observed in the two groups.Results After a course of 3-week treament in both groups,monitoring control index of blood sugar,CSII group than in MSII group standard after intensive treatment effect was obvious (P＜ 0.05).Reach the target also significantly shorten the time needed for blood sugar,significantly lower adverse reactions; Nursing effect was obvious,with a significant difference between the two group (P＜0.05).The incidende of skin redness,swelling,and itching was higher in CSII group than in MSII group.Conclusions CSII therapy can effectively control blood sugar,reduce the occurrence of hypoglycemia,decline the development of complications,improve quality of life in patients,reduce the workload of nursing staff,and improve patient satisfaction.