糖尿病眼病患者低血糖的原因分析及护理  

Cause analysis of hypoglycemia in patients with diabetic ophthalmopathy and nursing

作　　者：林小红[1] 吕丽雪[1] 叶雪萍[1] 王璐[1] 

机构地区：[1]广东省佛山市中医院眼科,528000

出　　处：《中国实用护理杂志》2012年第18期18-20,共3页Chinese Journal of Practical Nursing

摘　　要：目的分析糖尿病眼病患者发生低血糖的原因，总结相应护理对策，以减少糖尿病眼病患者低血糖的发生。方法对2009年1月至2011年11月我院眼科收治的43例糖尿病眼病患者发生低血糖的原因进行分析。结果擅自采取饥饿疗法；进食无规律；停用激素类药物后胰岛素用量无相应调整；糖尿病病情减轻后，没有及时调整胰岛素用量；玻璃体切割术后高眼压，导致呕吐，食欲下降，进食量减少；眼科医护人员对低血糖危害认识不足；合并使用心脑血管类药物等是糖尿病眼病患者发生低血糖的主要原因。结论糖尿病眼病患者发生低血糖的原因较多，在护理上应加强管理、加强宣教、加强病情观察及用药观察、提高眼科医护人员对低血糖的重视，以减少糖尿病眼病患者低血糖的发生。Objective To analyze the reasons of hypoglycemia in patients with diabetic ophthalmopa- thy, and summarize the corresponding nursing measures in order to reduce the incidence of hypoglycemia in patients with diabetic ophthalmopathy. Methods The reasons for hypoglycemia were analyzed for 43 patients with diabetic ophthalmopathy in oar hospital from January 2009 to November 2011. Results Taking the hunger-cure arbitrarily, no regular diet, no corresponding adjustment for the insulin quantity after stopping taking hormone medicine, and also after the diabetic symptoms relieved, besides, less food-intake caused by high pressure of eyes, vomiting and appetite decreasing after the vitreous body dissection, and the paramedic had no enough cognition for the harm caused by hypoglycemia, combination medication with cardiovascular medicine were the primary reasons for the occurrence of hypoglycemia in patients with dia- betic ophthalmopathy. Conclusions Many reasons can cause hypoglycemia in patients with diabetic ophthalmopathy. We should strengthen management, propaganda and education, observation of medication and disease condition as well as improve the attention of eye health care workers for hypoglycemia in order to reduce the incidence of hypoglycemia.

关 键 词：糖尿病眼病 低血糖 原因分析 护理 

分 类 号：R473.5[医药卫生—护理学]