摘要
目的探讨低血糖症的相关因素和预后,为低血糖的预防提供指导。方法回顾性分析60例低血糖症患者的临床资料。结果 60例患者中57例(95.0%)患者经治疗症状迅速缓解,血糖很快恢复正常,其中9例血糖波动(正常后又下降明显)2~3 d,均为口服磺脲类降糖药所致,继续治疗后均痊愈出院。2例(3.33%)偏瘫伴言语不清6 h起病者,入科时血糖1.8 mmol/L,积极治疗2周,遗留轻度偏瘫,生活能自理。1例(1.7%)昏迷8 h患者,入科时血糖1.2 mmol/L,但治疗2周,始终昏迷,四肢仅在疼痛刺激时有1~2级肌力。结论应高度重视低血糖的危害性,加强对糖尿病患者的健康教育,强化血糖监测,预防低血糖发生。
Objective To investigate related factors and prognosis of hypoglycemia, and to provide guidance for prevention of hypoglycemia. Methods A retrospective analysis was made on clinical data of 60 patients with hypoglycemia. Results There were 57 patients （95.0%） among the 60 patients with quick symptom remission and blood glucose recovery after treatment, including 9 cases with glucose variability （obvious reduction after recovery to standard level） for 2-3 d, which were all induced by oral administration of sulfonylureas hypoglycemic drugs, and they were all cured and discharged after further treatment. There were 2 cases （3.33%）with hemiplegia and alalia for 6 h, along with blood glucose as 1.8 mmol/L at admission. They had mild remaining hemiplegia and activities of daily living after 2-week active treatment. There was 1 case （1.7%） with coma for 8 h, along with blood glucose as 1.2 mmol/L at admission, while 2-week treatment showed no improvement in coma, only with grade 1-2 muscle force under pain stimulation on limbs. Conclusion High attention to risks of hypoglycemia is essential for enhancing health education in diabetes patients and strengthening blood glucose monitoring to prevent hypoglycemia.
出处
《中国实用医药》
2017年第11期56-58,共3页
China Practical Medicine
关键词
低血糖症
预后
糖尿病
预防
Hypoglycemia
Prognosis
Diabetes
Prevention
