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目的探讨血液透析过程中低血糖发生的原因及防治措施。方法分析我院2010年2月至2011年2月一年来18例维持性血透患者出现低血糖16例次的临床资料。结果 18例患者透析1389例次,发生低血糖10例,共16次,其中低血糖昏迷1例。结论血透中发生低血糖与萄萄糖能自由通过透析器膜,使用无糖透析液,降糖药物的作用,胰岛素拮抗作用下降等因素有关。需要在透析过程中密切观察患者,合理控制血糖,完全可以防止或减少低血糖发生。
Objective To investigate the causes of hypoglycemia during hemodialysis and the preventive measures. Methods The clinical data of 16 cases of hypoglycemia in 18 patients with maintenance hemodialysis were analyzed in our hospital from February 2010 to February 2011. Results Of the 18 patients who underwent dialysis for 1389 cases, hypoglycemia occurred in 10 cases, a total of 16 times, of which 1 case was hypoglycemic coma. Conclusions The occurrence of hypoglycemia in hemodialysis is related to the free passage of glucose through the dialyzer membrane, the use of sugar-free dialysate, the action of hypoglycemic agents and the decrease of insulin antagonism. Patients need to be closely observed in the dialysis process, reasonable control of blood sugar, can completely prevent or reduce the incidence of hypoglycemia.