糖尿病患者严重低血糖住院的临床分析及对策研究  

Clinical Analysis and Countermeasures of Diabetic Patients Hospitalized for Severe Hypoglycemia

作　　者：郑伊亿 王金委[2] 单鹏飞[1] ZHENG Yiyi;WANG Jinwei;SHAN Pengfei(Department of Endocrinology,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,Zhejiang,China;Department of General Medicine,Tiantai People's Hospital,Taizhou 317200,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第二医院内分泌科,浙江杭州310009 [2]天台县人民医院全科医学科,浙江台州317200

出　　处：《糖尿病新世界》2024年第12期5-8,共4页Diabetes New World

基　　金：浙江省医学会临床医学专项资金项目(2023ZYC-A102)。

摘　　要：目的探讨糖尿病患者严重低血糖住院的危险因素及干预对策。方法回顾性选取2020年1月—2023年3月天台县人民医院收治的严重低血糖住院的47例糖尿病患者的临床资料为观察组,选择同期无低血糖事件住院的47例糖尿病患者的临床资料为对照组。对比两组患者的临床资料,分析严重低血糖发生的危险因素及干预对策。结果多因素Logistic回归分析发现,年龄、尿微量白蛋白是严重低血糖发生的危险因素(OR=1.235、1.008,P均<0.05),体重指数是严重低血糖发生的保护因素(OR=0.696,P<0.05)。结论年龄、体重指数、尿微量白蛋白是糖尿病患者发生严重低血糖的影响因素。临床管理中应在改善高血糖与减少低血糖风险之间取得平衡,针对引起严重低血糖的危险因素制订应对措施,以减少低血糖及避免严重低血糖的发生。Objective To explore the risk factors and intervention measures of severe hypoglycemia in diabetic pa-tients.Methods The clinical data of 47 diabetic patients with severe hypoglycemia admitted to Tiantai People's Hospi-tal from January 2020 to March 2023 were retrospectively selected as the observation group,and the clinical data of 47 diabetic patients without hypoglycemia were selected as the control group.The clinical data of the two groups were compared,and the risk factors and intervention strategies of severe hypoglycemia were analyzed.Results Multi-variate Logistic regression analysis showed that age and urinary microalbuminu were risk factors for severe hypogly-cemia(OR=1.235,1.008,both P<0.05),and body mass index was a protective factor for severe hypoglycemia(OR=0.696,P<0.05).Conclusion Age,body mass index and urinary microalbumin are the influencing factors of severe hy-poglycemia in diabetic patients.In clinical management,a balance should be achieved between improving hyperglyce-mia and reducing the risk of hypoglycemia,and countermeasures should be formulated for the risk factors of severe hy-poglycemia to reduce hypoglycemia and avoid the occurrence of severe hypoglycemia.

关 键 词：糖尿病 严重低血糖 危险因素 干预对策 

分 类 号：R587.1[医药卫生—内分泌]