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目的:分析老年糖尿病患者应用胰岛素泵治疗时低血糖发生的原因,并采取针对性的护理措施,降低老年糖尿病患者治疗时低血糖的发生率,保障患者就医安全。方法:对我院2011年9月～2012年9月应用胰岛素泵治疗的106例患者,建立个人健康档案,对其治疗期间的所有事件、身体状况、行为等进行调查并逐一登记,对29例在治疗时并发低血糖患者的发生原因进行分析,提出相应的护理措施。结果:高龄、胰岛素用量过多、未按时按量进食、合并肾病、合并肝功能不良、运动时间过长或运动量过大是低血糖发生的主要因素,以上因素具有代表性(P<0.05)。通过密切监测与有效的护理,及时对出现的低血糖进行纠正,所有患者血糖均恢复正常,无1例并发症发生。结论:胰岛素泵治疗是一种先进技术,由于持续输注,老年糖尿病患者容易发生低血糖,针对低血糖发生的高危因素采取必要的护理措施,包括加强血糖监测的频率、个性化健康教育、加强医护人员应用胰岛素泵知识的培训等,可大大降低患者低血糖的发生率。
Objective: To analyze the causes of hypoglycemia in elderly patients with diabetes mellitus treated with insulin pump, and to take targeted nursing measures to reduce the incidence of hypoglycemia in elderly patients with diabetes mellitus and ensure the safety of patients. Methods: A total of 106 patients with insulin pump in our hospital from September 2011 to September 2012 were enrolled in this study. Personal health records were established and all the events, physical conditions and behaviors during the treatment were investigated and registered one by one. Twenty-nine patients Analysis of the causes of hypoglycemia in patients with treatment, put forward the corresponding nursing measures. Results: The main factors of hypoglycemia were the age, the excessive use of insulin, the failure to eat on time, the combination of nephropathy, hepatic dysfunction, prolonged exercise or excessive exercise. The above factors were representative (P <0.05). Through close monitoring and effective care, timely correction of the occurrence of hypoglycemia, all patients returned to normal blood glucose, no complications occurred. CONCLUSIONS: Insulin pump therapy is an advanced technique. Because of continuous infusion, elderly patients with diabetes are prone to hypoglycemia. Necessary nursing measures are taken to address the risk factors of hypoglycemia, including strengthening the frequency of blood glucose monitoring, personalized health education, strengthening Health care workers using insulin pump training, etc., can greatly reduce the incidence of hypoglycemia in patients.