2型糖尿病患者夜间低血糖护理策略研究

Study on Nursing Strategies of Nocturnal Hypoglycaemia in Type Ⅱ Diabetes

目的探讨2型糖尿病患者接受胰岛素泵治疗期间发生夜间低血糖的影响因素,评价低血糖处理后的效果,制定夜间低血糖护理策略。方法选取重庆市石柱县西沱镇中心医院住院治疗的2型糖尿病患者143为研究对象,所有研究对象均按糖尿病患者的常规饮食指导和运动指导,并接受胰岛素泵治疗。收集睡前的血糖值及发生低血糖症状时血糖值并评价低血糖的处理效果。结果 143例患者中,发生在0:00低血糖病人有68人,发生在3:00低血糖患者有50人,其中有28(均为60岁以上患者)人发生过两次低血糖,临床护理处理后,血糖均升至3.9 mmol/L以上,效果良好。结论需要加强对60岁以上2型糖尿病患者夜间低血糖监测,重点监测0:00与3:00低血糖的发生。

Objective To investigate the associated factors of nocturnal hypoglycemia in patients with type Ⅱ diabetes mellitus and to evaluate the effect of low blood sugar treatment,and to develop the nursing strategy during night time. Methods There were 143 patients with type Ⅱ diabetes treated by our hospital and were selected as the research object,and the study subjects were treated with routine diet guidance and exercise guidance,and received insulin pump therapy. Blood glucose was collected before bed. Finger tip blood glucose and blood glucose and the treatment effect of hypoglycemia were evaluated. Results Of the 143 patients,there were 68 hypoglycemia patients at the 0： 00,50 were at 3： 00,28 of them（ 60 years of age or older） experienced two low blood sugar. After clinical treatment,the patients blood glucose were higher than 3. 9 mmol / L,showing a good effect. Conclusion For type Ⅱ diabetic patients with 60 years or older,the monitoring in the night needs to be strengthened,especially during 0： 00 to 3： 00.