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目的探讨老年2型糖尿病患者低血糖的常见原因及救治方法。方法回顾性分析77例老年糖尿病患者发生低血糖反应的原因及诊治体会。结果经过治疗,其中54例低血糖反应患者在4~9 h内低血糖症状缓解,血糖恢复至7.0 mmol/L以上,占所有患者的70.1%;19例患者12 h症状纠正,血糖恢复至7.0 mmol/L以上,占24.7%;仅有4例患者在持续治疗36 h后,血糖水平逐渐恢复至7.0 mmol/L,症状缓解,占5.2%。全部患者未发生急性心、脑血管并发症。结论重视并预防老年糖尿病患者低血糖的发生是提高老年糖尿病患者生活质量的关键,及时饮用糖水,无效时静脉注射50%葡萄糖液以赢得抢救时间,挽救生命,同时应该避免心、脑器官严重并发症的发生。
Objective To investigate the common causes and treatment of hypoglycemia in elderly type 2 diabetic patients. Methods A retrospective analysis of 77 elderly patients with diabetes hypoglycemia causes and diagnosis and treatment experience. Results After treatment, the symptoms of hypoglycemia in 54 patients with hypoglycaemia were relieved within 4 ~ 9 h, the blood glucose recovered to 7.0 mmol / L or more, accounting for 70.1% of all patients; the symptoms were corrected within 12 h in 19 patients and the blood glucose recovered to 7.0 mmol / L or more, accounting for 24.7%; only 4 patients continued to be treated for 36 h, the blood glucose level gradually returned to 7.0 mmol / L, the symptoms relieved, accounting for 5.2%. All patients did not occur acute heart and cerebrovascular complications. Conclusion It is the key to improve the quality of life of elderly patients with diabetes mellitus and to prevent the occurrence of hypoglycemia in elderly patients with diabetes mellitus. Drink 50% glucose solution intravenously to save time and save lives. At the same time, serious complications of heart and brain should be avoided Occurrence of the disease.