论文部分内容阅读
对某医院内分泌科2011年9月-2012年6月收治的260名住院2型糖尿病患者住院期间的末梢血糖监测数据进行收集和分析。结果:45.00%的2型糖尿病患者在住院期间发生低血糖共335次。有症状性低血糖占78.50%,无症状性低血糖17.91%,严重低血糖3.58%;血糖在3.9mmol/L～2.2mmol/L间93.13%,血糖低于2.2mmol/L者6.87%;空腹及餐前低血糖占49.55%,餐后低血糖33.13%,睡前及凌晨低血糖17.31%;48.72%患者发生低血糖1次,51.28%发生至少2次;男性患者更易发生无症状性低血糖及严重低血糖(P<0.05);使用胰岛素治疗者比口服药物治疗更易发生无症状性低血糖(P<0.05)。结论老年、男性、病程长、并发症多重及使用胰岛素的患者更易发生低血糖。
Peripheral blood glucose monitoring data of 260 inpatients with type 2 diabetes mellitus admitted during September 2011 to June 2012 in a hospital were collected and analyzed. Results: 45.00% of type 2 diabetic patients had 335 hypoglycemia during hospitalization. Symptomatic hypoglycemia accounted for 78.50%, asymptomatic hypoglycemia 17.91%, severe hypoglycemia 3.58%; blood glucose in 3.9mmol / L ~ 2.2mmol / L 93.13%, blood glucose lower than 2.2mmol / L of 6.87%; fasting And hypoglycemia before meals accounted for 49.55%, postprandial hypoglycemia 33.13%, bedtime and early morning hypoglycemia 17.31%; 48.72% of patients with hypoglycemia 1 times, 51.28% occurred at least 2 times; men were more prone to asymptomatic hypoglycemia And severe hypoglycemia (P <0.05). Asymptomatic hypoglycemia was more likely to occur in insulin-treated patients than in oral medication (P <0.05). Conclusion The elderly, male, longer duration, multiple complications and insulin use are more likely to occur in patients with hypoglycemia.