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目的:了解我院近5年糖尿病低血糖昏迷的发病状况。方法:分析近5年我院糖尿病因低血糖昏迷而入院抢救的患者的基本情况、发病及诊治情况。结果:近年来糖尿病低血糖昏迷发病率增加,原因多样化,消瘦及糖化血红蛋白不高及弱势人群的老年患者易发生,出院时短效降糖药物首选。结论:对低血糖昏迷的病因应进行多元化的分析,对进行强化治疗的糖尿病患者及家属应反复强调检测血糖的重要性及加强对患者的心理护理,尤其是老年自理能力差的患者。
Objective: To understand the incidence of diabetic hypoglycemic coma in our hospital in recent 5 years. Methods: Analysis of the past five years our hospital due to hypoglycemic coma and hospitalized patients with the basic conditions, incidence and diagnosis and treatment. Results: In recent years, the incidence of diabetic hypoglycemic coma increased, the reasons for diversification, weight loss and glycosylated hemoglobin is not high and vulnerable elderly population prone to discharge short-acting hypoglycemic agents preferred. Conclusion: The causes of hypoglycemic coma should be diversified analysis of the intensive treatment of patients with diabetes and their families should repeatedly emphasize the importance of blood sugar testing and strengthen the psychological care of patients, especially those with poor self-care ability of the elderly.