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目的探讨老年糖尿病患者低血糖发生原因及临床治疗方法及效果。方法将河南省省直第一医院自2011年12月至2013年12月收治的80例老年糖尿病患者作为对象进行研究,观察其发病原因,并给予有效的治疗。结果相较治疗前,患者血糖水平相较治疗前有明显提高,比较有统计学意义(P<0.05);2例患者昏迷时间大于4h,在治疗后9h、10h苏醒,3例患者出现轻微痴呆症状,2例患者合并多脏器功能衰竭死亡,死亡率为2.5%。结论糖尿病低血糖具有复杂的临床表现,医护人员在对糖尿病患者进行治疗时要严格监测,避免低血糖发生。
Objective To investigate the causes of hypoglycemia in elderly patients with diabetes mellitus and its clinical treatment methods and effects. Methods Eighty elderly diabetic patients admitted to the First Hospital of Henan Province from December 2011 to December 2013 were studied and the causes of the disease were observed and treated effectively. Results Compared with those before treatment, the blood glucose level of the patients was significantly higher than that before treatment (P <0.05). The coma time was longer than 4h in 2 patients, wake up at 9h and 10h after treatment, and mild dementia occurred in 3 patients Symptoms, two patients with multiple organ failure died, the mortality rate was 2.5%. Conclusions Diabetes hypoglycemia has complicated clinical manifestations. Health care workers should strictly monitor the treatment of diabetic patients to avoid hypoglycemia.