中国医学创新2016，Vol.13Issue(18)：44-47,4.DOI:10.3969/j.issn.1674-4985.2016.18.013
糖尿病患者发生低血糖脑损伤的相关危险因素分析
Analysis on Related Risk Factors of Hypoglycemic Brain Injury in Patients with Diabetes Mellitus
摘要
Abstract
Objective:To analyze the risk factors of hypoglycemic brain injury and provide the basis for strategies of hypoglycemia brain injury in patients with diabetes in primary hospital.Method:From February 2012 to December 2015,300 cases of diabetic combined hypoglycemia were selected as the research objects, possible factors associated with brain injury include age,gender,duration of diabetes,rules of diet,duration of hypoglycemia,blood glucose level, hypertension duration,hypoglycemia seizure frequency,awareness of the risk of hypoglycemia and intervention time were collected,single factor and multi factor Logistic regression analysis were used.Result:A total of 48 cases (16.0%) of brain injury occurred in 300 cases of hypoglycemia.The single factor analysis founded that age,course of diabetes,use of sulfonylurea or insulin,duration time of hypoglycemia, blood glucose level,course of hypertension,frequency of hypoglycemia,knowledge of hypoglycemia and start time of intervention had something to do with hypoglycemic brain injury(P<0.05).Logistic regression analysis founded that age greater than or equal to 65 years old,course of diabetes more than 5 years,the excessive use of sulfonylurea or insulin,hypoglycemia lasted over 6 h,the blood glucose level less than 2.2 mmol/L, course of hypertension for more than 5 years and the incidence of hypoglycemia daily occurred more than 2 times were the risk factors of hypoglycemic brain injury,the knowledge of hypoglycemia and start time of intervention less than 30 min were the protective factors of hypoglycemic brain injury.Conclusion:There are many risk factors of hypoglycemic brain injury in patients with diabetes,the primary health care workers should strengthen health education to patients,improve the cognitive level of hypoglycemia,achieve early detection and early intervention to hypoglycemia,in order to reduce the incidence of hypoglycemic brain injury.关键词
糖尿病/低血糖/脑损伤/危险因素Key words
Diabetes mellitus/Hypoglycemia/Brain injury/Risk factor引用本文复制引用
李碧峰,侯宪云,钟红,王群,凌文珊,罗泳仪..糖尿病患者发生低血糖脑损伤的相关危险因素分析[J].中国医学创新,2016,13(18):44-47,4.基金项目
广州市南沙区科技计划项目 （）
