| 余显霞 熊雪松 戚忠 林颜敏 刘丽芳.住院期间老年2 型糖尿病患者低血糖原因分析及对策[J].,2014,14(30):5899-5902 |
| 住院期间老年2 型糖尿病患者低血糖原因分析及对策 |
| Analysis of the Causes and Related Strategies of Hypoglycaemia in theElderly Type 2 Diabetes Mellitus Patients During Hospitalization |
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| DOI： |
| 中文关键词: 老年 2型糖尿病 低血糖 原因 对策 |
| 英文关键词: Elderly Type 2 diabetes mellitus patients Hypoglycaemia Cause Strategies |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨住院期间老年2 型糖尿病患者发生低血糖的原因及相关对策。方法：选择2012 年12 月~2013 年12 月住院治疗
的老年2 型糖尿病患者150 例。根据是否发生低血糖将其分为未发生低血糖组80 例（对照组）和发生低血糖组70 例（研究组）。
对两组患者的临床数据资料进行统计学比较。结果：①研究组患者的平均年龄、病程、体重指数、住院天数和对照组患者比较差异
均具有统计学意义（P<0.05）；②研究组患者血肌酐（Cr）水平和尿微量清蛋白定量（UMA）均显著高于对照组患者（P<0.05）；③低
血糖在夜间02:00~05:59 发生的频率明显较高；④研究组二甲双胍的应用比例明显低于对照组（P<0.05），胰岛素的使用率和
OAD+ 胰岛素联合应用的情况明显高于对照组（P<0.05）。结论：老年2 型糖尿病患者病程长、BMI低；血肌酐（Cr）水平和尿微量清
蛋白定量（UMA）高；胰岛素的使用率及胰岛素联用OAD应用率高均会增加低血糖的发生风险。老年2 型糖尿病患者应注意饮
食治疗、运动治疗、药物治疗、血糖监测以及心理护理和健康指导。医护人员需为患者制定个体化的血糖控制目标，将老年2 型糖
尿病患者的血糖控制在适当水平。 |
| 英文摘要: |
| Objective:To research the cause and related strategies of hypoglycemia in the elderly type 2 diabetes mellitus patients
during hospitalization.Methods:50 elderly type 2 diabetes mellitus patients were hospitalized from December 2012 to December 2013.
These patients were divided into the non-hypoglycemia group and hypoglycemia group according to whether the hypoglycemia occurred.
80 non-hypoglycemia patients were in the control group and 70 hypoglycemia patients were in the research group. The clinical data
between the two groups were compared statistically.Results:①The average age, the course of diabetes mellitus, BMI and hospitalization
days of the research group all had statistically significant differences from that of the control group. ② The serum creatinine level and
urine trace albumin quantitative of research group were significantly higher than those in the control group (P＜0.05). ③ The incidence
rate of hypoglycemia was significantly higher during 2:00~5:59 in the night. ④The usage rate of dimethyl biguanide was lower than that
in control group (P＜0.05), and the usage rates of insulin and combination of insulin with oral antidiabetic drug was higher than those in
control group (P＜0.05).Conclusion:Elderly patients with type 2 diabetes had longer course of disease, lower BMI, and higher level of
Cr and UMA. The high usage rate of insulin and combination of insulin with oral antidiabetic drug could all increase the risk of
hypoglycaemia. Elderly patients with type 2 diabetes should pay attention to diet therapy, exercise therapy, drug treatment, blood sugar
monitoring as well as psychological care and health guidance. With the target of blood sugar control, medical staff should set
individualized therapy for patients, and should make the blood glucose of elderly type 2 diabetes mellitus patients in appropriate level. |
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