心脏介入治疗术后低血糖反应相关因素探讨

The study of the related factors cawing hypoglycemia after heart coronary Intervention therapy

目的对６０例５０岁以上行冠状动脉介入治疗病人的血糖进行监测，以探讨术后发生低血糖的影响因素。结果低血糖总发病率１０％（Ｐ＜０．０５），其中ＰＴＣＡ＋支架术低血糖发病率２．９４％，冠脉造影术低血糖发病率为１９．２３％，两者之间差异有显著意义（Ｐ＜０．０５）；与禁食时间有显著关系（Ｐ＜０．０１）；与年龄有一定关系（Ｐ＜０．０５）。对策（１）重视饮食指导，开放饮食；（２）加强血糖监测，尤其是老年人和应用影响血糖药物者；（３）加强心理护理和基础护理。

Objective To investigate the possible reasons of hypoglycemia after intervention procedure by analyzing the blood sugar level in 60cases (all> 50y) who underwent coronary intervention therapy. Results The hypoglycemia occurred in 10% pa-tients . The incidence in patients with PTCA and stent was2.9%. in the group of coronary artery angiography was 19.2% . It had a significant relation with the fasting time and the age. Therefore we should (1)Pay attention to the correct and rational diet. (2) Monitor the blood sugar level, especially in the aged patients or these taked pills. (3)Offer psychological care and routine nursing.