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目的分析老年糖尿病患者并发低血糖症的临床病因,预防低血糖发生。方法回顾性分析我院2004年1月至2007年6月期间收治的105例老年糖尿病患者的临床资料,研究与患者低血糖发生相关的危险因素;并针对相关因素,探讨有效的护理措施。结果患者年龄以及肝肾功能不全、感染和胃肠道疾病的发生率与患者低血糖的发生明显相关(P<0.01),而性别与患者并发低血糖的关系不显著(P>0.05)。结论老年糖尿病患者肝肾功能不全、感染和胃肠道疾病等并发症和年龄是诱导低血糖发生的重要因素;根据糖尿病低血糖发生的诱因,制定合理的护理预防策略。
Objective To analyze the clinical causes of hypoglycemia in elderly diabetic patients and prevent hypoglycemia. Methods A retrospective analysis of our hospital from January 2004 to June 2007 were treated 105 cases of elderly diabetic patients to study the risk factors associated with hypoglycemia; and for relevant factors, to explore effective care measures. Results The age, liver and kidney insufficiency, incidence of infection and gastrointestinal disease were significantly correlated with the incidence of hypoglycemia (P <0.01), but no significant correlation was found between gender and hypoglycemia (P> 0.05). Conclusion Complications and age of liver and kidney dysfunction, infection and gastrointestinal diseases in elderly patients with diabetes are important factors in the induction of hypoglycemia. According to the causes of diabetes hypoglycemia, a reasonable strategy of prevention and care is developed.