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目的总结老年糖尿病患者并发低血糖的原因。方法收集云南省曲靖市第一人民医院内汾泌科49例老年糖尿病合并低血糖患者,进行回顾性分析。结果低血糖昏迷8例,47例恢复,2例死亡。低血糖发生原因主要为:降血糖药物(包括胰岛素)使用不当;合并肝肾功能损伤;自主神经功能障碍;合并使用血管紧张素转换酶抑制剂、β受体阻滞刑等。结论多因素能导致老年性糖尿病患者并发低血糖,对老年糖尿病患者要定期监测血糖,据血糖控制水平及时调整降糖药物,避免使用中、长效降糖药,一旦确诊低血糖,应及早治疗。
Objective To summarize the causes of hypoglycemia in elderly diabetic patients. Methods A total of 49 elder patients with diabetes mellitus and hypoglycemia in the Department of Endocrinology, Qujing First People ’s Hospital of Yunnan Province were collected for retrospective analysis. Results hypoglycemic coma in 8 cases, 47 cases recovered, 2 cases died. The main causes of hypoglycemia: hypoglycemic drugs (including insulin) improper use; combined liver and kidney dysfunction; autonomic dysfunction; combined use of angiotensin-converting enzyme inhibitors, β-blocker and so on. Conclusions Multifactorial factors can lead to hypoglycemia in senile patients with diabetes, regular monitoring of blood glucose in elderly patients with diabetes, timely adjustment of hypoglycemic agents according to the level of glycemic control, and avoiding the use of long-acting and hypoglycemic drugs. Once the hypoglycemia is confirmed, early treatment .