实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
7期
110-112
,共3页
糖尿病%老年%低血糖%危险因素
糖尿病%老年%低血糖%危險因素
당뇨병%노년%저혈당%위험인소
diabetes%the elderly%hypoglycemia%risk factors
目的:探讨老年糖尿病患者住院期间发生低血糖的危险因素。方法回顾性分析在本院接受诊疗的41例糖尿病患者的临床资料(观察组),另选取同期在本院接受治疗的未发生低血糖的35例老年糖尿病患者作为对照组。结果观察组患者饮酒比例显著高于对照组(χ2=8.280,P =0.004)。观察组合用β受体阻滞剂的患者比例、多种硫脲类药合用的患者比例、更换降糖药的患者比例、饮食不规律的患者比例及过度运动的患者比例均显著高于对照组(P <0.05)。入院时,观察组患者血尿素氮水平、血肌酐水平、血尿素水平及血谷丙转氨酶水平均显著高于对照组(P <0.05)。Logistic 回归分析显示,肝功能异常、合用β受体阻滞剂、多种硫脲类药合用、饮酒及更换降糖药是导致老年糖尿病患者住院期间并发低血糖的独立风险因素(P <0.05)。结论老年糖尿病患者住院期间有一定的低血糖发生率,不当的治疗及不良生活习惯可能会影响低血糖的发生。
目的:探討老年糖尿病患者住院期間髮生低血糖的危險因素。方法迴顧性分析在本院接受診療的41例糖尿病患者的臨床資料(觀察組),另選取同期在本院接受治療的未髮生低血糖的35例老年糖尿病患者作為對照組。結果觀察組患者飲酒比例顯著高于對照組(χ2=8.280,P =0.004)。觀察組閤用β受體阻滯劑的患者比例、多種硫脲類藥閤用的患者比例、更換降糖藥的患者比例、飲食不規律的患者比例及過度運動的患者比例均顯著高于對照組(P <0.05)。入院時,觀察組患者血尿素氮水平、血肌酐水平、血尿素水平及血穀丙轉氨酶水平均顯著高于對照組(P <0.05)。Logistic 迴歸分析顯示,肝功能異常、閤用β受體阻滯劑、多種硫脲類藥閤用、飲酒及更換降糖藥是導緻老年糖尿病患者住院期間併髮低血糖的獨立風險因素(P <0.05)。結論老年糖尿病患者住院期間有一定的低血糖髮生率,不噹的治療及不良生活習慣可能會影響低血糖的髮生。
목적:탐토노년당뇨병환자주원기간발생저혈당적위험인소。방법회고성분석재본원접수진료적41례당뇨병환자적림상자료(관찰조),령선취동기재본원접수치료적미발생저혈당적35례노년당뇨병환자작위대조조。결과관찰조환자음주비례현저고우대조조(χ2=8.280,P =0.004)。관찰조합용β수체조체제적환자비례、다충류뇨류약합용적환자비례、경환강당약적환자비례、음식불규률적환자비례급과도운동적환자비례균현저고우대조조(P <0.05)。입원시,관찰조환자혈뇨소담수평、혈기항수평、혈뇨소수평급혈곡병전안매수평균현저고우대조조(P <0.05)。Logistic 회귀분석현시,간공능이상、합용β수체조체제、다충류뇨류약합용、음주급경환강당약시도치노년당뇨병환자주원기간병발저혈당적독립풍험인소(P <0.05)。결론노년당뇨병환자주원기간유일정적저혈당발생솔,불당적치료급불량생활습관가능회영향저혈당적발생。
Objective To explore the risk factors of hypoglycemia in elderly diabetic pa-tients during hospitalization.Methods Clinical material of 76 patients with diabetes was retrospec-tive analyzed.41 diabetic patients with hypoglycemia were in observation group while the other 35 diabetic patients without hypoglycemia were in control group.Results The percentage of drinking of patients in the observation group were significantly higher than that in the control group (χ2=8.280,P =0.004).The ratio of patients with application of Beta blocker,the proportion of pa-tients with a variety of thiourea drugs,replacement of antidiabetic drugs,the proportion of patients with irregular diet and excessive movement in the observation group were significantly higher than that in the control group (P <0.05).At the time of admission,level of blood urea nitrogen, serum creatinine,blood urea and serum alanine aminotransferase in the observation group were sig-nificantly higher than that in the control group (P <0.05).Logistic regression analysis showed that abnormal liver function,mixture application of beta blocker,a variety of thiourea drugs,alco-hol and replacement of hypoglycemic drugs were the independent risk factors to cause hypoglycemia in elderly diabetic patients during hospitalization (P <0.05).Conclusion Hypoglycemia could occur in elderly diabetic patients during hospitalization,and improper treatment and bad habits may affect the occurrence of hypoglycemia.