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目的探讨鹤壁市社区老年糖尿病患者诱发低血糖的原因。方法 66例发生低血糖反应的社区老年糖尿病患者的临床资料进行回顾性分析。观察影响患者低血糖反应的主要因素。结果 66例糖尿病患者自行服药或者皮下注射胰岛素患者有43例(65.15%),食物摄入量不足的患者有16例(24.24%),从事重体力劳动患者有5例(7.57%),其他原因患者有2例(3.03%)。出现低血糖风险的主要原因是因为多数患者未经医疗工作人员指导自行服药或皮下注射胰岛素,用药存在不规范性,另外,饮食摄入不规范、摄入量过低也是诱发低血糖的主要因素之一。结论社区老年糖尿病患者治疗中存在低血糖反应的风险,正规接受内分泌医师指导,加强健康教育、规范饮食、适度运动、合理用药、正规监测血糖,可减少低血糖反应的发生。
Objective To investigate the causes of hypoglycemia in elderly diabetic patients in Hebi City. Methods The clinical data of 66 elderly patients with diabetes mellitus with hypoglycemia were retrospectively analyzed. Observe the main factors affecting the hypoglycemic response in patients. Results Sixty-six patients (65.15%) had self-medication or subcutaneous insulin ingestion, 16 (24.24%) had insufficient food intake, 5 (7.57%) had heavy manual labor, and other reasons There were 2 patients (3.03%). The main reason for the risk of hypoglycemia is because most patients without medication guide their own medication or subcutaneous insulin injections, medication there is not standardized, in addition, dietary intake is not standardized, low intake is also a major factor induced hypoglycemia one. Conclusion There is a risk of hypoglycemia in the treatment of elderly diabetic patients in the community. Regularly receiving the guidance of endocrinologists, strengthening health education, regulating diet, exercising moderately and rationally, monitoring blood sugar regularly can reduce the incidence of hypoglycemia.