论文部分内容阅读
目的:探究老年糖尿病患者药物性低血糖临床特点,为临床提供指导。方法:对我院2009年1月-2011年9月106例老年糖尿病药物性低血糖住院患者的临床资料进行分析。结果:患者中有55例由于能量供给不足或未按医嘱用药等诱发因素引起,对低血糖采取防治措施的仅有12例。其中明确有使用胰岛素或磺脲类药物的有64例。高龄组和低龄组胰岛素导致低血糖的差异有统计学意义(P<0.01)。低血糖临床表现主要为神志不清、意识模糊、乏力和出汗。高龄组与低龄组神志不清发生的例数差异有统计学意义(P<0.05)。结论:老年糖尿病患者低血糖不良反应症状显著、危害大,合理用药值得关注。
Objective: To investigate the clinical features of drug-induced hypoglycemia in elderly patients with diabetes and provide guidance for clinical practice. Methods: The clinical data of 106 elderly patients with drug-induced hypoglycemia admitted to our hospital from January 2009 to September 2011 were analyzed. Results: 55 cases of patients due to insufficient energy supply or failure to follow the doctor’s advice and other predisposing factors, the prevention and treatment of hypoglycemia in only 12 cases. Of which there are clear use of insulin or sulfonylurea in 64 cases. There was a significant difference in insulin-induced hypoglycemia between the elderly group and the younger group (P <0.01). The main clinical manifestations of hypoglycemia are confusion, confusion, fatigue and sweating. There was a significant difference in the number of cases of unconsciousness between the elder group and the younger group (P <0.05). Conclusion: Symptoms of adverse reactions of hypoglycemia in elderly diabetic patients are significant and harmful. Rational use of drugs is worth attention.