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目的 :分析糖尿病治疗过程中低血糖发生原因,为治疗管理提供依据。方法 :2013年1月~2015年12月,我院共收治糖尿病患者826例,其中因低血糖或入院时发生低血糖患者102例,纳入病例组,选择同期收治未发生低血糖患者102例纳入对照组,进行问卷调查,对比分析。结果 :病例组年龄>60岁、病程>5年、BMI>25kg/m2比重高于对照组,FPG>7.0mmol/L、Hb Alc>6.5%比重低于对照组,差异具有统计学意义(P<0.05);Hb Alc、FPG成为独立影响因素;药物因素69.6%,饮食不规律18.6%,运动不合理(包括过度劳累)11.8%。结论 :糖尿病治疗过程中发生低血糖主要与用药、运动、饮食不当有关,需加强治疗管理,综合分析疗效影响因素。
Objective: To analyze the causes of hypoglycemia in the course of diabetes treatment and provide the basis for treatment and management. Methods: From January 2013 to December 2015, 826 diabetic patients were treated in our hospital. Among them, 102 patients with hypoglycemia or hypoglycemia on admission were enrolled in the case group, and 102 patients with hypoglycemia admitted in the same period Control group, questionnaire, comparative analysis. Results: The patients with age> 60 years and duration of disease> 5 years, the specific gravity of BMI> 25kg / m2 was higher than that of the control group, FPG> 7.0mmol / L and Hb Alc> 6.5% <0.05). Hb Alc and FPG became independent influencing factors. Drug factors 69.6%, diet irregular 18.6%, exercise unreasonable (including over-exertion) 11.8%. Conclusion: The incidence of hypoglycemia in the course of diabetes treatment is mainly related to medication, exercise and improper diet. It is necessary to strengthen treatment management and comprehensively analyze the influencing factors of curative effect.