糖尿病低血糖症患者的临床特点与诊治分析

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1、糖尿病低血糖症患者的临床特点与诊治分析［摘要］目的总结和分析糖尿病低血糖症患者的临床特点、治疗措施及相关诱发因素。方法选择2010年6月〜2012年11月木院收治的50例糖尿病低血糖症患者为研究对象，回顾性分析其临床资料，总结其临床特点、治疗措施及相关诱发因索。结果20例患者有交感神经兴奋的症状,7例患者语言功能障碍且偏瘫，17例患者精神异常，嗜睡或昏迷，3例患者多次抽搐，3例患者胸闷胸痛。35例由于降糖药物治疗不当引起，8例由于饮食因素引起，7例由于患者自身因素引起，药物因素导致低血糖症的发生率为70.

2、00%,明显高于其他诱因(P<0.05)o经过治疗后45例患者低血糖症状得到改善，2例患者出现记忆力明显减退、反应迟钝后遗症，1例遗留轻度痴呆后遗症，1例遗留痴呆后遗症，成植物状态，1例抢救无效死亡。结论糖尿病低血糖症主要由饮食、药物、合并症等因素引发，及早诊断和治疗、合理饮食、劳逸结合及合理用药是提高预后的关键。［关键词］糖尿病低血糖症；临床特点；诊治分析［中图分类号］R587.1［文献标识码］B［文章编号］1674-4721(2014)06(b)-0164-03Clinicalfeaturesanda

3、nalysisofdiagnosisandtreatmentofpatientswithdiabetichypoglycemiaLANCui-pingDepartmentofEndocrinology,PeoplezsHospitalofYizhouCityinGuangxiZhuangAutonomousRegion,Yizhou546300,China[Abstract]ObjectiveToinvestigatetheclinicalfeatures,treatmentandrelatedpredi

4、sposingfactorsofpatientswithdiabetichypoglycemia.Methods50casesofpatientswithdiabetichypoglycemiainourhospitalfromJune2010toNovember2012wereselectedasstudy.Theresearchdatawerereviewedandclinicalfeatures,treatmentandrelatedpredisposingfactorswereanalysed.R

5、esuIts20casesofpatientswerewithsymptomsofsympatheticnerve,7casesofpatientswerewithlanguagedysfunctionandparalysis,17casesofpatientswerewithmenLalabnormalitiesanddrowsinessorcoma,3casesofpatientswerewithrepeatedconvulsions,3casesofpatientswerewithchestpain

6、.35caseswereduetoimproperantidiabeticdrugtherapy,8caseswerecausedbydietaryfactors,7caseswereduetothepatient7sownfactors,theincideneeofhypoglycemiacausedbydrugfactorswas70.00%,higherthanthatoftheotherincentives,thedifferencewassignificnat(P<0.05).Aftertrea

7、tment,45casesofpatients'symptomsofhypoglycemiawereimproved,2casesofpatientshadsignificantmemorylossandunresponsivesequelae,1caseofmilddementiasequelaelegacy,1caseofdementialegacysequelae,intoavegetativestate,1casewasdied.ConclusionThekeyofdiabetichypoglyc

8、emiaaremainlycausedbydiet,drugs,complicationsandotherfactors.Earlydiagnosisandtreatment,properdiet,andrestandrationaluseofdrugscanimproveprognosis.［Keywords］Diabetichypoglycemia;Clinicalfeatures;Diagnosisandtreatmen