主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (12): 1914-1918.doi: 10.3969/j.issn.1672-1756.2019.12.031

• 专科管理 • 上一篇    

住院糖尿病患者轻中度低血糖处置后血糖水平调查及影响因素分析

蒋青 周惠娟 高红兰 刘丽珺   

  1. 苏州大学附属第一医院内分泌科,215006 江苏省
  • 出版日期:2019-12-15 发布日期:2019-12-15
  • 通讯作者: 周惠娟,本科,主管护师,护士长,E-mail:13962103212@163.com
  • 作者简介:蒋青,硕士,副主任护师
  • 基金资助:
    2017年苏州市民生科技指导性项目(SYSD2017084)

Investigation of blood glucose levels and its related factors of hospitalized diabetic after mild-to-moderate hypoglycemia treatment

JIANG Qing, ZHOU Huijuan, GAO Honglan, LIU Lijun   

  1. Endocrinology Department, the First Affiliated Hospital of Soochow University, Jiangsu province, Suzhou, 215006, China
  • Online:2019-12-15 Published:2019-12-15
  • Contact: E-mail:13962103212@163.com

摘要: 目的:调查临床对住院糖尿病患者发生的轻中度低血糖处置后的血糖水平,并分析影响处置效果的因素。方法:回顾性分析符合纳入标准的糖尿病患者88例,收集一般资料和低血糖处置后的血糖数据,评价处置后的血糖水平,并分析影响因素。结果:总体186例次低血糖事件中,发生时血糖<3.0?mmol/L、处置后15?min>3.9?mmol/L、1?h时>5.6?mmol/L、1~2?h≤3.9?mmol/L、2~4?h≤3.9?mmol/L的发生率分别为17.2%、73.7%、64.5%、9.7%和7.1%。低血糖发生时段、发生时血糖水平以及降糖方案中是否包括胰岛素是影响处置效果的因素。结论:住院糖尿病患者轻中度低血糖进食指导存在不足。影响处置效果的因素包括低血糖发生时段、发生时血糖水平及所用降糖药是否包括胰岛素,应关注上述因素。

关键词: 低血糖;糖尿病;血糖;碳水化合物

Abstract: Objective: To investigate the glucose levels after treatment of mild-to-moderate hypoglycemia in hospitalized diabetic patients and to analyze the related factors of glucose levels. Methods: Totally 88 hospitalized diabetic patients who met the inclusion criteria were surveyed retrospectively. The clinical characteristics and the blood glucose (BG) levels at different time after initial treatment were collected, and the related factors were also analyzed. Results: In the total 186 hypoglycemic events, the incidence of BG<3.0 mmol/L at the time of occurrence, BG>3.9 mmol/L, BG>5.6 mmol/L and BG≤3.9 mmol/L after 15 minutes, 1 hour and 1-2 hour of the treatment were 17.2%, 73.7%, 64.5%, 9.7%, and 7.1% respectively. The main related factors of the hypoglycemic effect included the time of hypoglycemia, the BG level at the time of occurrence, and whether insulin is used. Conclusion: Dietary guidance on mild–to-moderate hypoglycemia with hospitalized diabetic is insufficient. More attention should be paid for the related factors of blood glucose levels after treatment, included the time of hypoglycemia, the level of blood glucose at the time of occurrence, and whether the insulin is used.

Key words: hypoglycemia; diabetes mellitus; blood glucose; carbohydrate

中图分类号: 

  • R47