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目的分析老年冠心病心力衰竭(简称心衰)并糖尿病患者发生低血糖的原因及对策。方法选择发生低血糖的老年冠心病心衰并糖尿病患者27例,从降糖药的种类、饮食、心功能状况等分析低血糖发生的原因、危害及防治措施。结果老年冠心病心衰并糖尿病患者低血糖发生的原因与降糖药物选择不当、未及时监测血糖调整用量、不恰当的强化治疗有关。结论老年冠心病心衰并糖尿病患者的降糖治疗要因病情而异。
Objective To analyze the causes and countermeasures of hypoglycemia in elderly patients with coronary heart disease and heart failure. Methods 27 cases of elderly patients with heart failure and diabetes mellitus with hypoglycemia were selected. The causes, harms and prevention measures of hypoglycemia were analyzed from the types of hypoglycemic agents, diet and cardiac function. Results The causes of hypoglycemia in elderly patients with CHD and diabetes mellitus were related to improper selection of hypoglycemic agents, failure to timely monitor the amount of blood sugar to be adjusted and improper intensive treatment. Conclusion Elderly patients with coronary heart disease and diabetes with hypoglycemic treatment vary according to the disease.