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目的探讨老年糖尿病低血糖症治疗方法及效果。方法选取本院近年来收治的56例老年糖尿病低血糖症患者作为研究对象,观察其临床资料、临床表现,并给予有效的治疗方法。结果胰岛素使用不当是导致患者低血糖症发生的重要原因,患者主要表现为手抖、多汗、乏力等交感神经兴奋症状。经积极治疗后,52例患者病情好转,其中3例患者出现遗留性轻度痴呆,1例患者由于严重肝硬化,抢救无效而死亡,治疗有效率为92.9%。结论老年糖尿病患者低血糖症发生主要与胰岛素、降糖药物使用不当有关,临床表现多种多样,通过积极治疗能够实现患者康复。
Objective To investigate the treatment of elderly diabetic hypoglycemia and its effects. Methods Fifty-six elderly patients with diabetes mellitus and hypoglycemia admitted in our hospital in recent years were enrolled in this study. Clinical data, clinical manifestations and effective treatment were observed. Results Improper use of insulin is an important cause of hypoglycemia in patients. Symptoms of sympathetic nerves such as hand shaking, hyperhidrosis and fatigue are the main symptoms in patients. After active treatment, 52 patients improved their condition, of which 3 patients with residual mild dementia, 1 patient died of serious cirrhosis and rescue invalid, the effective rate was 92.9%. Conclusion The incidence of hypoglycemia in elderly diabetic patients is mainly related to the improper use of insulin and hypoglycemic agents. The clinical manifestations are diverse and the patients can be recovered through active treatment.