胰岛素泵非计划性拔管的概念

胰岛素泵非计划性拔管的概念英文回答：
The concept of unplanned insulin pump tubing disconnections (UPDs) is a well-known phenomenon in the management of diabetes with insulin pumps. UPDs refer to the unintentional disconnection of the insulin pump tubing from the infusion set or reservoir, leading to an interruption in insulin delivery. These disconnections can occur for various reasons, including accidental pulling or snagging of the tubing, malfunctioning of the connection mechanism, or damage to the tubing itself.
Unplanned insulin pump tubing disconnections pose significant challenges for individuals with diabetes, as they can lead to hyperglycemia and other complications. In the absence of insulin delivery, blood glucose levels can rise rapidly, potentially resulting in diabetic ketoacidosis (DKA) in individuals with type 1 diabetes. Additionally, UPDs can cause inconvenience, anxiety, and
disruption to daily routines.
To minimize the occurrence of unplanned insulin pump tubing disconnections, several strategies can be employed. These include:
Proper insertion and securing of the infusion set: Ensuring the infusion set is securely inserted into the subcutaneous tissue and properly taped can help prevent accidental dislodgement.
Choice of infusion set: Selecting an infusion set with a secure locking mechanism and durable tubing can reduce the risk of disconnections.
Regular inspection of the tubing and connection sites: Regularly checking the tubing and connection sites for signs of damage or wear can help identify potential issues before they lead to a disconnection.
Education and training: Providing comprehensive education and training to individuals using insulin pumps
can help them understand the importance of proper handling and maintenance of their devices, reducing the risk of UPDs.
Use of additional securing devices: Utilizing
additional securing devices, such as tubing clips or wraps, can provide extra stability and prevent disconnections caused by accidental pulling or snagging.
Continuous glucose monitoring (CGM): Using a
continuous glucose monitor (CGM) can provide real-time monitoring of blood glucose levels, allowing individuals to quickly identify and respond to unplanned disconnections.
中文回答：
非计划性胰岛素泵导管脱落（UPDs）是使用胰岛素泵治疗糖尿
病过程中出现的一种常见现象。

UPDs是指胰岛素泵导管与输注器或
储液器意外断开，导致胰岛素输送中断。

这些脱落可能由于多种原
因引起，包括意外拉扯或勾住导管、连接机制故障或导管本身损坏等。

非计划性胰岛素泵导管脱落对糖尿病患者构成重大挑战，因为
它可能导致高血糖和其他并发症。

在没有胰岛素输送的情况下，血
糖水平可能迅速升高，对于1型糖尿病患者，可能导致糖尿病酮症
酸中毒（DKA）。

此外，UPDs还会造成不便、焦虑和扰乱日常活动。

为了尽量减少非计划性胰岛素泵导管脱落，可以采取以下几种
策略：
正确插入和固定输注器，确保输注器牢固地插入皮下组织并用
胶带适当固定，可以防止意外脱落。

选择输注器，选择带安全锁定机制和耐用导管的输注器，可以
降低脱落风险。

定期检查导管和连接部位，定期检查导管和连接部位是否有损
坏或磨损迹象，可以帮助在导致脱落之前发现潜在问题。

教育和培训，为使用胰岛素泵的患者提供全面的教育和培训，
可以帮助他们了解正确处理和维护设备的重要性，从而降低UPDs的
风险。

使用额外固定装置，使用额外的固定装置，如导管夹或包裹物，可以提供额外的稳定性，防止因意外拉扯或勾住而造成的脱落。

持续葡萄糖监测（CGM），使用持续葡萄糖监测（CGM）可以实时监测血糖水平，使患者能够快速识别和应对非计划性脱落。