27例老年冠心病心力衰竭并糖尿病患者低血糖分析  

The Study of the Cause of Hypoglycemia in the Treatment of 27 Senium Patients with Type 2 Diabetes and Congestive Heart Failure Seconda- ry to Coronary Heart Disease

作　　者：成永霞[1] 周庆国[1] 邵芳[1] 王开[1] 

机构地区：[1]河南省平煤集团总医院心内科,平顶山467000

出　　处：《医学研究杂志》2009年第12期76-77,共2页Journal of Medical Research

摘　　要：目的分析老年冠心病心力衰竭(简称心衰)并糖尿病患者发生低血糖的原因及对策。方法选择发生低血糖的老年冠心病心衰并糖尿病患者27例,从降糖药的种类、饮食、心功能状况等分析低血糖发生的原因、危害及防治措施。结果老年冠心病心衰并糖尿病患者低血糖发生的原因与降糖药物选择不当、未及时监测血糖调整用量、不恰当的强化治疗有关。结论老年冠心病心衰并糖尿病患者的降糖治疗要因病情而异。Objective To study the cause of hypoglycemia in the treatment of 27 senium patients with type 2 diabetes and congestive heart failure secondary to coronary heart disease and to greatly reduce the risk of hypoglycemia. Methods 27 senium patients with type 2 diabetes and congestive heart failure secondary to coronary heart disease were studied in a single center. They all had at least once event of hypoglycemia in their treatment of higher plasma glucose. The causes of hypoglycemia were analyzed by the sorts and dose of glycemie drugs, diets, heart function and so on. Results The causes of hypoglycemia of these patients were correlated with unsuitable glycemic drugs and dose,irregularly monitoring plasma glucose,improper intensive glycemic control and so on. Conclusion Glycemic control of 27 senium patients with type 2 diabetes and congestive heart failure secondary to coronary heart disease should based on their pathogenetie condition.

关 键 词：老年 冠心病 心力衰竭 低血糖 分析 

分 类 号：R259.414[医药卫生—中西医结合] R587.1[医药卫生—中医内科学]