低血糖症43例临床分析

目的：探讨低血糖症的病因。方法：回顾性分析近6年间43例住院患者低血糖症的临床资料。结果：低血糖症多见于老年糖尿病(DM)患者占74．42％，未察觉低血糖占53．49％；多为药物性低血糖占93．02％，其中口服降糖药(OHA)占77．5％，胰岛素占22．5％，OHA中又以格列本脲(优降糖或内含优降糖的消渴丸)为最多，占54．84％。结论：对老年DM患者应适当控制血糖，尽量避免使用优降糖或消渴丸，加强DM教育，提高自我保健技能，防止严重低血糖造成的不良后果。

Clinical analysis of 43 cases with hypoglycemia

Objective: To investigate the causes of hypoglycemia. Methods: 43 cases with hypoglycemia admitted in the past six years were analyzed. Results: Hypoglycemia more commonly occured in aged patients with diabetes mellitus(74.42%),hypoglycemia unawareness was 23 cases(53.49%);as a result of oral hypoglycemic agents(OHA) and injection insulin(iatrogenic hypoglycemia was 93.02%), of them ,77.5% were caused by OHA,22.5% were caused by injection insulin, taking OHA inside again with glibenclamide(you jiang tang or xiao ke wan contented glibenclamide) was the most(54.84%). Conclusion: The aged patients with diabetes mellitus should appropriate control blood glucose ,avoid using as far as possible glibenclamide ,enhancing the diabetic educates, increasing ego health care technical ability, preventing the harmful effect resulted from the serious hypoglycemia.