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老年糖尿病患者出现低血糖反应的急救及护理 被引量:2

First-aid and Nursing of Hypoglycemia in Elderly Patients with Diabetes
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摘要 目的探究老年糖尿病患者出现低血糖反应的急救措施及护理方法。方法将我院内分泌科自2018年1月至2019年1月收治的41例老年低血糖反应患者作为观察对象,分析其低血糖反应的诱发因素,总结其紧急治疗措施及护理干预内容,观察最终治疗结果。结果41例老年糖尿病低血糖患者当中,29例乃因药物使用不当引发,8例因饮食不规律引发,4例因运动引发。41例患者中有40例患者在24 h内恢复健康,1例患者因送医时间较晚,在出现低血糖昏迷后4 h方送达医院,治疗1周后仍处于深昏迷状态,后患者家属放弃治疗;护理满意度调查结果显示,护理满意度为100%。结论老年糖尿病患者低血糖反应的出现与药物、饮食及运动情况密切相关,尽早就医,积极实施紧急治疗措施及护理干预能够改善患者的预后状态。 Objective To explore the first-aid measures and nursing methods for hypoglycemia in elderly patients with diabetes.Methods Forty-one elderly patients with hypoglycemia who were admitted to the department of Endocrinology from January 2018 to January 2019 were enrolled in this study.The predisposing factors of hypoglycemia were analyzed,and the emergency treatment measures and nursing interventions were summarized.Observe the final treatment outcome.Results Of the 41 elderly patients with diabetes mellitus and hypoglycemia,29 were caused by improper drug use,8 were caused by irregular diet,and 4 were caused by exercise.Forty of the 41 patients recovered to health within 24 hours.One patient was sent to the hospital 4 hours after the hypoglycemic coma due to the late delivery of the drug.After one week of treatment,the patient was still in a deep coma and his family members gave up treatment.The nursing satisfaction survey showed that the nursing satisfaction was 100%.Conclusion The occurrence of hypoglycemia in elderly patients with diabetes is closely related to the drug,diet and exercise.Early medical treatment and active implementation of emergency treatment and nursing intervention can improve the prognosis of patients.
作者 陈风云 CHEN Feng-yun(Pingdu Dongge Street Office Health Center,Qingdao,Shandong 266700)
出处 《智慧健康》 2019年第32期187-188,共2页 Smart Healthcare
关键词 老年人 糖尿病 护理干预 紧急救治 Elderly Diabetes Nursing intervention Emergency treatment
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