中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
17期
164-165,169
,共3页
糖尿病低血糖症%临床特点%诊治分析
糖尿病低血糖癥%臨床特點%診治分析
당뇨병저혈당증%림상특점%진치분석
Diabetic hypoglycemia%Clinical features%Diagnosis and treatment
目的：总结和分析糖尿病低血糖症患者的临床特点、治疗措施及相关诱发因素。方法选择2010年6月~2012年11月本院收治的50例糖尿病低血糖症患者为研究对象，回顾性分析其临床资料，总结其临床特点、治疗措施及相关诱发因素。结果20例患者有交感神经兴奋的症状，7例患者语言功能障碍且偏瘫，17例患者精神异常，嗜睡或昏迷，3例患者多次抽搐，3例患者胸闷胸痛。35例由于降糖药物治疗不当引起，8例由于饮食因素引起，7例由于患者自身因素引起，药物因素导致低血糖症的发生率为70.00%，明显高于其他诱因(P<0.05)。经过治疗后45例患者低血糖症状得到改善，2例患者出现记忆力明显减退、反应迟钝后遗症，1例遗留轻度痴呆后遗症，1例遗留痴呆后遗症，成植物状态，1例抢救无效死亡。结论糖尿病低血糖症主要由饮食、药物、合并症等因素引发，及早诊断和治疗、合理饮食、劳≥结合及合理用药是提高预后的关键。
目的：總結和分析糖尿病低血糖癥患者的臨床特點、治療措施及相關誘髮因素。方法選擇2010年6月~2012年11月本院收治的50例糖尿病低血糖癥患者為研究對象，迴顧性分析其臨床資料，總結其臨床特點、治療措施及相關誘髮因素。結果20例患者有交感神經興奮的癥狀，7例患者語言功能障礙且偏癱，17例患者精神異常，嗜睡或昏迷，3例患者多次抽搐，3例患者胸悶胸痛。35例由于降糖藥物治療不噹引起，8例由于飲食因素引起，7例由于患者自身因素引起，藥物因素導緻低血糖癥的髮生率為70.00%，明顯高于其他誘因(P<0.05)。經過治療後45例患者低血糖癥狀得到改善，2例患者齣現記憶力明顯減退、反應遲鈍後遺癥，1例遺留輕度癡呆後遺癥，1例遺留癡呆後遺癥，成植物狀態，1例搶救無效死亡。結論糖尿病低血糖癥主要由飲食、藥物、閤併癥等因素引髮，及早診斷和治療、閤理飲食、勞≥結閤及閤理用藥是提高預後的關鍵。
목적：총결화분석당뇨병저혈당증환자적림상특점、치료조시급상관유발인소。방법선택2010년6월~2012년11월본원수치적50례당뇨병저혈당증환자위연구대상，회고성분석기림상자료，총결기림상특점、치료조시급상관유발인소。결과20례환자유교감신경흥강적증상，7례환자어언공능장애차편탄，17례환자정신이상，기수혹혼미，3례환자다차추휵，3례환자흉민흉통。35례유우강당약물치료불당인기，8례유우음식인소인기，7례유우환자자신인소인기，약물인소도치저혈당증적발생솔위70.00%，명현고우기타유인(P<0.05)。경과치료후45례환자저혈당증상득도개선，2례환자출현기억력명현감퇴、반응지둔후유증，1례유류경도치태후유증，1례유류치태후유증，성식물상태，1례창구무효사망。결론당뇨병저혈당증주요유음식、약물、합병증등인소인발，급조진단화치료、합리음식、로≥결합급합리용약시제고예후적관건。
Objective To investigate the clinical features,treatment and related predisposing factors of patients with di-abetic hypoglycemia. Methods 50 cases of patients with diabetic hypoglycemia in our hospital from June 2010 to November 2012 were selected as study.The research data were reviewed and clinical features,treatment and related pre-disposing factors were analysed. Results 20 cases of patients were with symptoms of sympathetic nerve,7 cases of pa-tients were with language dysfunction and paralysis,17 cases of patients were with mental abnormalities and drowsiness or coma,3 cases of patients were with repeated convulsions,3 cases of patients were with chest pain.35 cases were due to improper antidiabetic drug therapy,8 cases were caused by dietary factors,7 cases were due to the patient’s own fac-tors,the incidence of hypoglycemia caused by drug factors was 70.00%,higher than that of the other incentives,the dif-ference was significnat (P<0.05).After treatment,45 cases of patients’ symptoms of hypoglycemia were improved,2 cases of patients had significant memory loss and unresponsive sequelae,1 case of mild dementia sequelae legacy,1 case of dementia legacy sequelae,into a vegetative state,1 case was died. Conclusion The key of diabetic hypoglycemia are mainly caused by diet,drugs,complications and other factors.Early diagnosis and treatment,proper diet,and rest and ra-tional use of drugs can improve prognosis.
