糖尿病患者胰岛素治疗期间夜间低血糖的预防及护理

回顾2004年1月-2005年12月收治糖尿病患者用胰岛素治疗时出现夜间低血糖66例,分析发生夜间低血糖症状的时间段和常见原因。其中48例发生症状性低血糖中在0：00-5：00,另18例无症状性低血糖发生在3：00。发生夜间低血糖主要原因是胰岛素剂量过大,患者血糖降低后未及时凋整；晚餐未按时按量进食；睡前活动量增加而没有及时加餐。所有夜间低血糖患者经及时、有效的补糖措施,纠正血糖成功率为100%,无并发症出现。认为护士要掌握夜间低血糖的观察、预防和护理,加强糖尿病患者的健康宣教,以避免低血糖对患者造成危害。

Nighttime Prevention and Care of Glycopenia in Diabetes Patients Treated with Insulin

The authors retrospectively analyze 66 cases of nighttime glycopenia in diabetes patients treated with insulin during Jan- uary 2004 to December 2005,and find out the time span and common causes.It was found that 48 cases of glycopenia with symptoms happened during 0:00-5:00,while the 18 cases without symptoms at 3:00.The major causes attributed to the overdosage of insulin but no timely adjustment was handled after lowering of the serum glucose,not dieting in time and at the amount,increase of pre- sleeping activities but without addition of a meal.They were treated by supplementing sugar during nighttime,with a success rate of 100% in correcting the serum glucose and without complications.Therefore,the authors suggest nurses should know how to observe. prevent and care at nighttime,enhance the health education to the patients so as to avoid the risks.