江阴市院前救治无糖尿病低血糖患者特点分析

Characteristics of pre-hospital treatment for patients without diabetes and hypoglycemia in Jiangyin

目的:探讨江阴市院前救治的无糖尿病低血糖患者的相关特点,包括年龄、性别、发病原因等。方法:采用回顾性分析方法,分析2017年江阴市院前急救病历中记录的非糖尿病低血糖患者。对相关特点进行描述性统计分析等。结果:2017年江阴市院前急救,共237例无糖尿病的低血糖患者,其中216例入院,47例出现严重低血糖。在所有无糖尿病和严重低血糖病例中,出现低血糖的3个主要诊断组是:醉酒,共99例(41.8%);神经系统疾病,共51例(21.5%);恶性肿瘤,共28例(11.8%)。严重低血糖患者中,醉酒24例(51.1%)、恶性肿瘤19例(40.4%)和营养不良15例(31.9%)。结论:院前急救中最常见的无糖尿病患者低血糖相关病因为饮酒、神经系统疾病、恶性肿瘤,应进一步研究。

Objective:To investigate the characteristics of patients without diabetes mellitus and hypoglycemia,including age,sex,etiology and so on. Methods:The non-diabetic hypoglycemia patients recorded in the pre-hospital emergency medical records of Jiangyin city in 2017 were analyzed retrospectively. Descriptive statistical analysis was carried out on the related characteristics. Results:In the pre-hospital emergency service in Jiangyin City in 2017,there were 237 patients with hypoglycemia without diabetes,of which 216 were hospitalized and 47 had severe hypoglycemia. In all cases without diabetes and severe hypoglycemia,the three main diagnosis groups of hypoglycemia were drunkenness,a total of 99 cases(41.8%),neurological diseases, a total of 51 cases(21.5%), malignant tumors,a total of 28 cases(11.8%);In patients with severe hypoglycemia,it was intoxicated with 24 cases(51.1%),malignant tumors(19 cases,40.4%) and malnutrition(15 cases,31.9%).Conclusion Conclusion:The most common hypoglycemia related etiology of non-diabetic patients in pre-hospital first aid is alcohol consumption,nervous system diseases and malignant tumors,which should be further studied to determine the possible etiology.