自身因素对初次使用胰岛素的2型糖尿病患者发生低血糖的影响  

Influence of personal factors on incidence of hypoglycemia of type 2 diabetic patients during initialuse of insulin

作　　者：洪玉芬[1] 邓碧坚[1] 梁婵波[1] 谭远英[1] 

机构地区：[1]广东医学院附属医院内分泌科,湛江524001

出　　处：《中国实用护理杂志》2013年第6期19-21,共3页Chinese Journal of Practical Nursing

摘　　要：目的通过分析影响初次使用胰岛素的2型糖尿病住院患者出现低血糖症状的自身因素，探讨低血糖高危人群加强糖尿病教育和低血糖护理的重要性。方法选取257例初次使用胰岛素的2型糖尿病住院患者，其中出现低血糖症状80例。比较低血糖组和未发生低血糖组患者性别、BMI和HbAlc等之间的差别。利用Logistic回归分析，发现可能与低血糖症状发生有关的危险因素。然后应用ROC曲线分析影响最大的因素。结果2组间BMI、Scr、HbAlc和TG等7个因素水平比较差异有统计学意义。BMI和HbAlc为影响低血糖发生的最主要的保护因素。HbAlc〈8．65％或BMI〈26．3kg／m。的患者低血糖发生率增加。结论BMI和HbAlc是影响首次使用胰岛素的患者出现低血糖症状最主要的自身因素。护理人员应加强对HbAlc〈8．65％或BMI〈26．3kg／m。的患者进行糖尿病相关健康教育，对预防低血糖事件的发生有重要意义。Objective To explore the importance of diabetic education and hypoglycemia nursing for population with high risk of hypoglycemia through analysis of the personal factors influencing incidence of hypoglycemia of type 2 diabetic patients during initial use of insulin. Methods There were 257 cases of T2DM hospitalized patients during initial use of insulin, among whom 80 experienced hypoglycemia. They were divided into two groups,one was the hypoglycemia group, another was the non- hypoglycemia group. Firstly, we compared the different characteristics of the two groups such as gender, BMI and HbAlc, and so on. And then, the possible risk factors of hypoglycemia were analyzed by a Logistic regression model. Finally, the most significant factors were analyzed with the ROC curve. Results These two groups were obviously different in seven elements such as BMI, Scr, HbAle and TG, and so on. BMI and HbAIc were the most primary causes for prevention of hypoglycemia. When patients got HbAlc〈8.65% or BMI〈26.3 kg/m2, they had more opportunity to occur hypoglycemia. Conclusions BMI and HbAlc of patients are primary causes for hypoglycemia. It is of great significance for nurses to enhance diabetes education to the patients with HbAlc〈8.65% or BMI〈26.3 kg/m2 to alleviate the incidence of hypoglycemia.

关 键 词：低血糖 胰岛素 2型糖尿病 糖尿病教育 

分 类 号：R587.1[医药卫生—内分泌]