25例胰岛素治疗患者酗酒后致严重低血糖的原因分析与护理  

Analysis of Severe Hypoglycemia Induced by Excessive Drinking Treating with Insulin

作　　者：刘良红[1] 付丹[1] 

机构地区：[1]丽水市人民医院内分泌科,浙江丽水323000

出　　处：《护理学报》2010年第5期44-46,共3页Journal of Nursing（China）

摘　　要：分析总结25例糖尿病胰岛素治疗患者酗酒后致严重低血糖的原因及护理对策。空腹酗酒、酗酒后酒精使胰岛素分泌及作用增强、酗酒后肝功能损害、老年糖尿病患者是酗酒导致严重低血糖的原因。认为迅速判断、紧急处理以防止低血糖所致脑功能进一步损害,是成功抢救酗酒致胰岛素治疗患者严重低血糖反应的关键。针对酗酒致低血糖原因,适时进行个体化低血糖防范知识教育,帮助患者认识酗酒导致严重低血糖的危害;根据病情、生活方式等指导患者配合积极戒酒或为其制定个体化饮酒方案;积极随访,控制诱因;强化自我管理知识和技能,指导患者家属积极监督,促使患者行为改变,避免酗酒行为复萌,可以预防严重低血糖事件再次发生。本组25例胰岛素治疗患者酗酒后致严重低血糖反应病例中,24例抢救成功,未遗留各种脑功能障碍后遗症及诱发心脑血管事件,血糖控制平稳出院,随访1～3年,均无严重低血糖事件再次发生。The authors in the paper analyze the causes of severe hypoglycemia induced by excessive drinking and summarize the management strategy, thinking the causes include excessive drinking at empty stomach, enhanced secretion of insulin from excessive drinking, impairment of hepatic function, and senile diabetic patients; the strategy includes individual education on preventing hypoglycemia, helping them with alcohol withdrawal or a reasonable drinking plan, active follow-up to control motivation, instructing their family to supervise them. For the 25 patients with excessive drinking-induced severe hypoglycemia, 24 were successfully managed, without any complications of cerebral dysfunction and cardiac and cerebral vascular accidents. The follow-up for 1-3 years found no incurrence of hypoglycemia.

关 键 词：糖尿病 胰岛素 酗酒 低血糖 护理 

分 类 号：R473.5[医药卫生—护理学]