摘要
目的总结低血糖伴意识障碍患者的临床特征。方法回顾性分析2003年11月至2009年8月收治的92例低血糖伴意识障碍患者的临床资料。病因:2型糖尿病和1型糖尿病降糖药物应用不当分别为78例、3例,酒精中毒3例,Sheehan综合征并垂体危象3例,肿瘤2例,急性肠炎2例,功能性低血糖1例。预后:良好82例,差10例。结果应用口服降糖药物与胰岛素者预后比较差异有统计学意义(P<0.05),不同预后者意识障碍时间及初诊血糖比较差异有统计学意义(P<0.05)。结论对低血糖伴意识障碍患者,应在尽快积极纠正低血糖的同时针对病因治疗,有助于改善预后。
Objective To analyze the clinical character of patients with hypoglycemia associated con- scious disturbance. Methods To review and analyze the clinical data of 92 patients with hypoglycemia associat- ed conscious disturbance. Cause：There were 78 inappropriate uses of glucose-lowering drugs in type 2 diabetes and 3 in type 1 diabetes, 3 alcoholic poisoning, 3 Sheehan Symptom associated pituitary crisis, 2 carcinoma, 2 acute enteritis and 2 functional hypoglycemia. Prognosis： There were 82 favourable but 10 unfavourable out- come. Results There was statistically significant difference in prognosis between patients using oral glucose- lowering drugs and insulin （ P 〈 0. 05 ）. And, there was also statistically significant difference in duration of conscious disturbance and primary blood glucose between patients with different prognosis（P 〈0. 05 ）. Conclu- sion To the patients with hypoglycemia associated conscious disturbance, it will contribute to good prognosis to retrieve hypoglycemia as soon as possible and take etiological treatment actively.
出处
《中国实用医药》
2010年第19期17-18,共2页
China Practical Medicine
关键词
低血糖
意识障碍
Hypoglycemia
Conscious disturbance
