Heinemann Lutz, Waldenmaier Delia, Kulzer Bernd, Ziegler Ralph, Ginsberg Barry, Freckmann Guido
1 Science Consulting in Diabetes GmbH, Neuss, Germany.
2 Institut für Diabetes-Technologie, Ulm, Germany.
J Diabetes Sci Technol. 2019 Jan;13(1):34-40. doi: 10.1177/1932296818795150. Epub 2018 Aug 22.
Insulin pumps are used by a steadily increasing number of patients with diabetes. Avoiding certain disadvantages of conventional pumps (ie, the insulin infusion set) might make pump therapy even more attractive. Patch pumps are usually attached by means of an adhesive layer to the skin and have several additional advantages (smaller, more discrete, easier to use, and cheaper than conventional insulin pumps). This review provides a general overview of patch pumps, the technologies used, basic clinical requirements, why a number of developments failed, which clinical studies are needed to provide sufficient evidence for their usage, which costs are associated, what the patient preferences are (which might differ between certain patient groups), and what is the future of patch pumps (ie, artificial pancreas systems).
越来越多的糖尿病患者开始使用胰岛素泵。避免传统泵（即胰岛素输注装置）的某些缺点可能会使泵疗法更具吸引力。贴片式胰岛素泵通常通过粘贴层附着于皮肤，具有一些额外的优点（体积更小、更隐蔽、使用更方便且比传统胰岛素泵更便宜）。本综述对贴片式胰岛素泵、所使用的技术、基本临床要求、一些研发失败的原因、为其使用提供充分证据所需的临床研究、相关成本、患者偏好（某些患者群体之间可能存在差异）以及贴片式胰岛素泵的未来（即人工胰腺系统）进行了总体概述。
