2型糖尿病患者降糖治疗过程中发生低血糖原因分析.pdf

CHINESEC0MMUNITY D0CT0RS 论著·临床论坛 2型糖尿病患者降糖治疗过程中发生低血糖原因分析 李北宁 古力比亚·力提甫 844000新疆喀什地区第二人民医院内分泌科 doi:10.3969/j.issn.1007-614x.2014.29.13 摘 要 目的：探讨2型糖尿病患者降糖治疗过程中发生低血糖的原因。方法：2012年11月-2013年11月收治2型糖 尿病患者124例，对临床资料进行回顾性分析。结果：发生低血糖反应的患者数量98例，发病率高达79.0%。患者发 生低血糖的原因可归纳为饮食因素、运动因素、药物因素、并发症因素4个方面。其中由于药物因素而导致的低血糖 患者数量52例(53.1%)，由于饮食因素而导致的低血糖患者28例(28.6%)，运动不当造成低血糖的患者数量15例 (15.3%)，在治疗过程中由于并发症而导致的低血糖患者3例(3.1%)。结论：临床上在对2型糖尿病患者进行降糖治疗 时，应严格控制用药，并对患者进行有效的健康教育，帮助患者规律饮食、正确运动，同时也应做好并发症的预防工 作，有效降低2型糖尿病患者发生低血糖的几率。 关键词 2型糖尿病；降糖治疗；低血糖；发生原因 Analysisofthecausesfortheoccurrenceofhypoglycemiainpatientswithtype2diabetesintreatmentprocess LiBeining,Gulibiya·Litifu DepartmentofEndocrinology,theSecondPeoplesHospitalofKashiarea,Xinjiang844000 Abstract Objective:To explore the causes for the occurrence of hypoglycemia in patients with type 2 diabetes in treatment process.Methods:124patientswithtype2diabeteswereselectedfromNovember2012toNovember2013.Theclinicaldatawere retrospectivelyanalyzed.Results:Thenumberofpatientswithhypoglycemiareactionwas98cases,andtheincidenceratewas79%. Causes of hypoglycemia in patients could be divided into four aspects,including dietary factors,sports factors,drug factors, complicationfactors.Theamountduetodrugfactorsofhypoglycemiawas52cases(53.1%),duetodietaryfactorsofhypoglycemia was28cases(28.6%).Thenumber of hypoglycemiacausedbytheimproper motionwas 15cases(15.2%),duetocomplicationsof hypoglycemia during treatment was 3 cases(3.1%).Conclusion:In clinical practice,when we treat patients with type 2 diabetes mellitus,weshouldstrictlycontrolthemedication,andcarryouteffectivehealtheducationtothepatients,helppatientsdiet,proper exercise.At the same time,we should also do a good job of prevention of complications,and effectively reduce the risk of h