影响老年2型糖尿病患者发生药物性低血糖的Logistic回归分析  

Analysis of relative factors for drug-induced hypoglycemia in elderly type 2 diabetic patients

作　　者：于鹏 杨军[2] 

机构地区：[1]山东省生建八三医院内科,山东淄博255311 [2]淄博市中医医院内二科,山东淄博255300

出　　处：《中国处方药》2016年第5期14-15,共2页Journal of China Prescription Drug

摘　　要：目的探讨老年2型糖尿病患者发生药物性低血糖的相关危险因素。方法选取我院2011年1月~2015年6月收治的老年2型糖尿病患者150例,收集患者的相关资料,统计分析引发药物性低血糖的危险因素。结果 150例患者均获得3个月随访,47例患者发生了低血糖事件,发生率为31.3%。经过多因素Logistic回归分析,联合使用降糖药、使用胰岛素、使用磺脲类药物、未进行自我血糖监测是发生药物性低血糖的危险。结论合理使用降糖药,加强患者教育和自我管理,可降低低血糖的发生率。Objective To analyze the risk factors for drug-induced hypoglycemia in elderly type 2 diabetic patients. Methods 47 cases with drug-induced hypoglycemia in elderly type 2 diabetic patients and 103 elderly type 2 diabetic patients without drug-induced hypoglycemia were included,and the relative factors for drug-induced hypoglycemia were analyzed between the two groups. Results The risk factors for drug-induced hypoglycemia in elderly type 2diabetic patients include treated with insulin, treated with sulfonylureas, combination of medicines. The protective factors was self monitoring of blood glucose. Conclusion Treatment of elderly type 2 diabetes patients, should formulate the reasonable clinical diabetes treatment, strengthen patient management and education, increase the daily monitoring frequency, can reduce the incidence of hypoglycemia.

关 键 词：药物性低血糖 2型糖尿病 老年 危险因素 

分 类 号：R587.1[医药卫生—内分泌]