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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月本院收治的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素。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7
2、0.00%，明显高于其他诱因(P〈0・05)。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耍由饮食、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)-0164-03Clinicalfeatures
3、andanalysisofdiagnosisandtreatmentofpatientswithdiabetichypoglycemiaLANCui-pingDepartmentofEndocrinology,People'sHospitalofYizhouCityinGuangxiZhuangAutonomousRegion,Yizhou546300,China[Abstract]ObjectiveToinvestigatetheclinicalfeatures,treatmentandrelate
4、dpredisposingfactorsofpatientswithdiabetichypoglycemia・Methods50casesofpatientswithdiabetichypoglycemiainourhospitalfromJune2010toNovember2012wereselectedasstudy.Theresearchdatawerereviewedandclinicalfeatures,treatmentandrelatedpredisposingfactorswerean
5、alysed.Results20casesofpatientswerewithsymptomsofsympatheticnerve,7casesofpatientswerewithlanguagedysfunctionandparalysis,17casesofpatientswerewithmentalabnormalitiesanddrowsinessorcoma,3casesofpatientswerewithrepeatedconvulsions,3casesofpatientswerewit
6、hchestpain.35caseswereduetoimproperantidiabeticdrugtherapy,8caseswerecausedbydietaryfactors,77caseswereduetothepatientsownfactors,theincideneeofhypoglycemiacausedbydrugfactorswas70.00%,higherthanthatoftheotherincentives,thedifferencewassignificnat(P<0.0
7、5).Aftertreatment,45casesofpatients'symptomsofhypoglycemiawereimproved,2casesofpatientshadsignificantmemorylossandunresponsivesequelae,1caseofmilddementiasequelaelegacy,1caseofdementialegacysequelae,intoavegetativestate,1casewasdied.ConclusionThekeyofdi
8、abetichypoglycemiaaremainlycausedbydiet,drugs,complicationsandotherfactors.Earlydiagnosisandtreatment,properdiet,andrestandrationaluseofdrugscanimproveprognosis・［Keywords］Diabetichypoglycemia;Clinicalfeatures;Diagnosisandtreatmen
