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目的:探讨老年糖尿病患者发生低血糖临床特点。方法:回顾性分析2005年1月—2012年12月诊治的20例老年糖尿病患者的临床资料。结果:13例表现为交感神经兴奋的症状;4例表现为反应迟钝、表情淡漠、四肢无力、语言模糊及神经功能异常等症状;3例无症状监测血糖时发现。诱发因素中饮食因素6例;胰岛素或降糖药使用剂量过大5例;饮酒2例;剧烈运动4例;18例患者治疗(3~6)天后均痊愈出院,平均(4.11±1.80)天,1例因就诊时间过长,遗留反应迟钝和明显记忆力减退;1例出现偏瘫。结论:老年糖尿病患者低血糖症发生率较高,临床表现不典型,对预后有不良影响,应重视其预防工作,以减少低血糖的发生。
Objective: To investigate the clinical features of hypoglycemia in elderly diabetic patients. Methods: The clinical data of 20 elderly diabetic patients diagnosed and treated from January 2005 to December 2012 were retrospectively analyzed. Results: Thirteen patients showed symptoms of sympathetic nerve excitement. Four patients showed unresponsiveness, indifferent expression, weakness of limbs, vague language and neurological dysfunction. Three patients were found to be asymptomatic when monitoring blood glucose. Induced diet, 6 cases of dietary factors, 5 cases of overdose of insulin or hypoglycemic agents, 2 cases of alcohol consumption, 4 cases of strenuous exercise, and 18 cases of patients were cured after 3 to 6 days of treatment, with an average of (4.11 ± 1.80) days , 1 patient due to treatment time is too long, left unresponsive and significant memory loss; 1 case of hemiplegia. Conclusion: The incidence of hypoglycemia in elderly diabetic patients is high, the clinical manifestations are not typical and have an adverse effect on the prognosis. Prevention should be emphasized in order to reduce the incidence of hypoglycemia.