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目的:根据我院老年糖尿病并发低血糖患者的临床表现、诱发因素以及治疗效果和预防进行临床分析探讨。方法:随机选取我院40例老年糖尿病患者,均为Ⅱ型糖尿病。有男性患者22例,女性患者18例,年龄59-80岁,患病病程1个月-30年。11例合并冠心病,9例合并高血压,3例合并白内障,2例糖尿病肾病,6例感染,4例脑血管意外,无合并疾病5例。对40例患者的临床表现和发病因素、治疗手段进行回顾性分析。结果:根据患者低血糖诱发因素、临床表现以及具体检查结果给予各自治疗方案:症状较轻者迅速给予糖类食物或饮料,症状较严重或者不能口服者立即行静脉注射,注射量50~100ml的50%葡萄糖,而后采取滴注5~10%葡萄糖。40例患者经治疗血糖值均得到了有效控制。讨论:老年糖尿病患者极易引发低血糖,日常要时时关心,观察老年患者的情况,如果有低血糖的倾向要及时到医院就诊,做到早诊断、早治疗、早控制。
Objective: According to our hospital elderly patients with diabetes mellitus and hypoglycemia in clinical manifestations, predisposing factors and treatment and prevention of clinical analysis. Methods: Forty elderly diabetic patients in our hospital were randomly selected, all of whom were type II diabetes. There are 22 cases of male patients, 18 cases of female patients, aged 59-80 years old, duration of illness from 1 month to 30 years. Eleven patients had coronary heart disease, 9 patients with hypertension, 3 patients with cataract, 2 patients with diabetic nephropathy, 6 patients with infection, 4 patients with cerebrovascular accident and 5 patients without combined disease. The clinical manifestations, pathogenesis and treatment of 40 patients were retrospectively analyzed. Results: According to patients with hypoglycemic factors, clinical manifestations and the results of the specific examination given their own treatment programs: mild symptoms were promptly given carbohydrate foods or drinks, the symptoms are more serious or can not be oral immediately intravenous injection volume of 50 ~ 100ml 50% glucose, followed by instillation of 5 to 10% glucose. Forty patients were treated with effective control of blood glucose levels. Discussion: Elderly patients with diabetes can easily lead to hypoglycemia, daily care must always be observed in elderly patients, if there is a tendency to hypoglycemia to the hospital, early diagnosis, early treatment, early control.