CAJ | 학술논문

目的分析糖尿病眼病患者发生低血糖的原因,总结相应护理对策,以减少糖尿病眼病患者低血糖的发生.方法对2009年1月至2011年11月我院眼科收治的43例糖尿病眼病患者发生低血糖的原因进行分析.结果擅自采取饥饿疗法；进食无规律；停用激素类药物后胰岛素用量无相应调整；糖尿病病情减轻后,没有及时调整胰岛素用量；玻璃体切割术后高眼压,导致呕吐,食欲下降,进食量减少；眼科医护人员对低血糖危害认识不足；合并使用心脑血管类药物等是糖尿病眼病患者发生低血糖的主要原因.结论糖尿病眼病患者发生低血糖的原因较多,在护理上应加强管理、加强宣教、加强病情观察及用药观察、提高眼科医护人员对低血糖的重视,以减少糖尿病眼病患者低血糖的发生.
목적 분석당뇨병안병환자발생저혈당적원인,총결상응호리대책,이감소당뇨병안병환자저혈당적발생.방법 대2009년1월지2011년11월아원안과수치적43례당뇨병안병환자발생저혈당적원인진행분석.결과 천자채취기아요법；진식무규률；정용격소류약물후이도소용량무상응조정；당뇨병병정감경후,몰유급시조정이도소용량；파리체절할술후고안압,도치구토,식욕하강,진식량감소；안과의호인원대저혈당위해인식불족；합병사용심뇌혈관류약물등시당뇨병안병환자발생저혈당적주요원인.결론 당뇨병안병환자발생저혈당적원인교다,재호리상응가강관리、가강선교、가강병정관찰급용약관찰、제고안과의호인원대저혈당적중시,이감소당뇨병안병환자저혈당적발생.
Objective To analyze the reasons of hypoglycemia in patients with diabetic ophthialmopathy,and summarize the corresponding nursing measures in order to reduce the incidence of hypoglycemia in patients with diabetic ophthialmopathy. Methods The reasons for hypoglycemia were analyzed for 43 patients with diabetic ophthalmopathiy in our hospital from January 2009 to November 2011. Results Taking the hunger-cure arbitrarily,no regular diet,no corresponding adjustment for the insulin quantity after stopping taking hormone medicine,and also after the diabetic symptoms relieved,besides,less food-intake caused by high pressure of eyes,vomiting and appetite decreasing after the vitreous body dissection,and the paramedic had no enough cognition for the harm caused by hypoglycemia,combination medication with cardiovascular medicine were the primary reasons for the occurence of hypoglycemia in patients with diabetic ophthalmopathy. Conclusions Many reasons can cause hypoglycemia in patients with diabetic ophthalmopathy,We should strengthen management,propaganda and education,observation of medication and disease condition as well as improve the attention of eye health care workers for hypoglycemia in order to reduce the incidence of hypoglycemia.