糖尿病酮症酸中毒诱因调查及防治对策

目的 :探讨糖尿病酮症酸中毒 (DKA)诱发因素的防治对策 ;方法 :采用计数方法间接确定住院的 57例DKA各种诱因的发生率 ,两组间进行对比分析 ,找寻诱因产生的根源 ;结果 :感染为诱因者 3 5例 ( 61 .4% ) ,用药不当 8例 ( 1 4 .0 % ) ,医源性因素 6例 ( 1 0 .5% ) ;感染诱因中呼吸道感染 2 3例 ( 65.7% ) ;病程一年以上者感染诱发率高于病程一年以下者 (P <0 .0 5) ,医源性诱因 1 0 0 %发生在病程一年以下且无糖尿病病史的 2型糖尿病 ;结论 :感染是DKA的首要诱发因素 ,严格控制血糖是减少感染发生率的必要手段 ,要避免用药不当这个主要诱因有赖于加强卫生宣教 ,取得患者在治疗上的配合 ;糖尿病的早期诊断可防止医源性诱因的发生

THE RISK FACTORS AND HEALTH PLAN OF THE DIABETIC KETOACIDOSIS (DKA)

Objective:To investigate the risk factors of diabetic ketoacidosis (DKA) to get a health plan.Methods:A total of 57 patients who were satisfied the WHO criteria for diabetes in terms to symptoms were enrolled in the study, 24 in the type I diabetes group and 33 in the type II diabetes group. The incidental rates of induced DKA were recorded in the two groups.Results:35 of the 57 DKA patients had the risk of infection, it specially was in respiratory system,8 cases were of the unavailable drugs using and 6 cases were the iatrogenic factor.The risk of DKA infection-induced was greater in diabetic history of over 1 year than that in lowed 1 year (P<0.05). The iatrogenic risk of DKA occurred in the patients with Type II diabetes free symptoms and the history lowed 1 year.Conclusions:Infection is the main risk of induced DKA. And use of available drug is importance to prevent the incidence of DKA.