Observation on the therapeutic effect of insulin pump in the perioperative period of hip fracture in elderly patients with diabetes mellitus
Su Yongfeng
Li Jufen
Li Ziling
Abstract：Objective This study explored the curative effect of insulin pump in the perioperative period of hip fracture in elderly patients with diabetes mellitus. Methods The study selected 92 senile hip fracture surgery patients with diabetes mellitus who were treated in Baogang hospital and Jishuitan hospital from January 2013 to January 2018. With random number table method, they were divided into observation group and control group, each includes 46 cases. In the control goup, perioperative was given subcutaneous injections of insulin treatment;In the observation group, perioperative was given continuous subcutaneous injection of insulin pump treatment. The study did a comprehensive evaluation on blood sugar,the marked time before or after patients operation, dosage of insulin. Results The blood glucose indexes of observation group was lower than that of control group (P ＜ 0.05), which was statistically significant. For the observation group, blood glucose standard time and insulin dosage was lower than that of the control group. (P ＜ 0.05),which was statistical significance. In the observation group, the postoperative hypoglycemia and wound healing disorders revealed 4.35% and 2.17% respectively, which was significantly lower than that of the control group (χ2=7.497,t2=9.592,P ＜ 0.05),with statistically significant. Conclusion The use of insulin pump for the perioperative period of hip fracture in elderly diabetic patients can promote the improvement of blood glucose index, lower insulin dosage and may lessen complications, so it is worth promoting the application.
Keywords：Senile diabetesHip fracturePerioperative periodInsulin pumpComplications
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 279-281 )