老年糖尿病肾病患者血液透析治疗中低血糖的观察和护理

目的探讨老年终末期糖尿病肾病（DN）患者在维持性血液透析治疗中低血糖的观察和护理干预要点。方法对15例老年DN患者血液透析中进行血糖监测，观察病情变化，及时发现低血糖反应并列症处理。结果本组15例老年DN患者，910例次血液透析中发生低血糖反应14例次（1．54％），其中1例发生低血糖浅昏迷，均得到及时处理。结论老年糖尿病肾病患者透析过程中易出现低血糖，注重患者饮食和降糖药物合理应用，严密监测血糖及透析过程中密切观察病情，及时处理，可减少透析中低血糖发生。

Observation and nursing of hypoglycemia in the treatment of with hemodialysis for senile patients diabetic nephropathy

Objective To explore the nursing intervention strategy for hypoglycemia in the treatment of hemodialysis for senile patients with diabetic nephropathy. Methods The blood glu- cose levels of 15 senile patients with diabetic nephropathy who received hemodialysis were monitored and their changes of condition were closely observed in order to find hypoglycemia earlier and take prompt actions. Results Fifteen senile patients with diabetic nephropathy in the group had only 14 hypoglycemia reactions of 910 times of hemodialysis （1.54 % ）. One patient fell into coma and all of the 14 patients with hypoglycemia reactions received immediate treatment. Conclusion Senile pa- tients with diabetic nephropathy tend to have hypoglycemia. To reduce hypoglycemia, we should pay attention to patients＇ diet, use appropriate hypoglycemic drugs, closely observe the progression and give prompt treatment when necessary.