Clinical effects of intensive insulin therapy on diabetes with acute obstructive suppurative cholangitis in elderly patients

VernacularTitle:胰岛素强化治疗在老年糖尿病患者并急性梗阻性化脓性胆管炎治疗中的应用
Author: Zhoufeng WU ; Shan GAO ; Tianyie JING
Publication Type:Journal Article
Keywords: Cholangitis; Insulin infusion; Aged
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(2):164-165
CountryChina
Language:Chinese
Abstract: Objective To study the clinical effects of the intensive insulin therapy on diabetes with acute obstructive suppurative cholangitis in elderly patients.Methods Sixty-four patients aged over 70 were divided into two groups:group A(maintenance of blood glucose at a level between 4.4 and 6.1lmmol/L)and group B(maintenance of blood glucose at a level between 10.0 and 11.1mmol/L).Insulin was infused by micro-injection pump.The changes of APACHEII score postoperative complications,average length of stay in hospital and prognosis were observed.Results The average APACHEII score of group A was significantly decreased after 3rd day postoperation(P＜0.01).The average length of stay in hospital of group A was significantly shorter than that of group B(P＜0.05).The postoperative complications of group A were significantly decreased(P＜0.05).Conclusion Intensive insulin therapy contributes to the outcome of the elderly patients with acute obstructive suppurative cholangitis.