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采用电话、报纸等多种媒体招募门诊使用人胰岛素或胰岛素类似物控制血糖的糖尿病患者参加本项调查。结果:1.共133人参加,其中发生低血糖人数为88例(66.17%),两次及以上人数为53例(39.85%),发生低血糖后知道采取应对措施比例为83%;2.低血糖发作中,7例为漏餐,6例为运动过量,19例为进食减少,6例为进食过少及运动过量同时存在,5例为自行加药;3.以是否发生低血糖分组,两组间糖化血红蛋白无显著统计学差别(P=0.763);4.回归分析显示脑梗死、胰岛素注射次数为门诊胰岛素控制血糖患者低血糖发生的独立危险因素。结论:门诊胰岛素控制血糖患者低血糖发生率高,且血糖控制不佳,需积极加强教育减少低血糖发生并加强血糖控制。
The survey was conducted by recruiting diabetics who use insulin or insulin analogues to control blood sugar in the outpatient setting by using the telephone, newspapers and other media. A total of 133 participants, including the occurrence of hypoglycemia in 88 cases (66.17%), twice and above the number of 53 cases (39.85%), in hypoglycemia know to take measures to deal with the proportion of 83%; Among the hypoglycemic episodes, 7 were missed meals, 6 were over-exercised, 19 were decreased food intake, 6 were under-fed and over-exercised, and 5 were self-dosing; 3. , There was no significant difference between the two groups (P = 0.763); 4. Regression analysis showed that the number of cerebral infarction and insulin injection were independent risk factors of hypoglycemia in outpatient insulin-controlled blood glucose patients. Conclusions: Outpatient insulin-controlled blood glucose has a high incidence of hypoglycaemia and poor glycemic control. Efforts should be made to strengthen education to reduce the incidence of hypoglycemia and to strengthen glycemic control.