[1]李碧峰 侯宪云 张辉亮.糖尿病患者发生低血糖脑病的预后影响因素分析[J].卒中与神经疾病杂志,2016,23(01):26-29.[doi:10.3969/j.issn.1007-0478.2016.01.007]
　Li Bifeng,Hou Xianyun,Zhang Huiliang.The factors affecting the prognosis of hypoglycemic encephalopathy in the patients with diabetes mellitus[J].Stroke and Nervous Diseases,2016,23(01):26-29.[doi:10.3969/j.issn.1007-0478.2016.01.007]
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糖尿病患者发生低血糖脑病的预后影响因素分析()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第23卷
期数:
2016年01期
页码:
26-29
栏目:
论著
出版日期:
2016-03-01

文章信息/Info

Title:
The factors affecting the prognosis of hypoglycemic encephalopathy in the patients with diabetes mellitus
作者:
李碧峰 侯宪云 张辉亮
作者单位:511470 广州市南沙区第六人民医院内科(李碧峰 侯宪云),检验科(张辉亮)
Author(s):
Li Bifeng;  Hou Xianyun;  Zhang Huiliang
The Sixth People's Hospital of Nansha District, Guangzhou 511470
关键词:
低血糖脑病 预后 影响因素
Keywords:
Hypoglycemic encephalopathy Prognosis Influence factors
分类号:
R742 R587.1
DOI:
10.3969/j.issn.1007-0478.2016.01.007
文献标志码:
A
摘要:
目的 探讨影响低血糖脑病预后的因素。方法 根据标准将2011年1月～2014年9月收治的86例低血糖脑病患者纳入研究,经神经功能缺损评分(NIHSS)、静脉注射推60 mL 50%高渗糖、血糖检测及其他必要治疗后观察患者的预后,分析影响患者预后的因素。结果 对低血糖脑病预后相关的影响因素进行非条件Logistic回归分析显示,与该病预后相关的因素有4项:高龄、发病时血糖水平高、低血糖持续时间长、肾功能异常。结论 影响低血糖脑病患者预后的因素有患者年龄、低血糖的程度、低血糖持续的时间及患者的肾功能,要改善低血糖脑病患者的预后,必须及早发现及纠正低血糖,同时改善肾功能。
Abstract:
ObjectiveTo investigate the factors affecting the prognosis of hypoglycemic encephalopathyand to take some effective motheds to improve the prognosis of patients.Methods According to the diagnosis standard, a total of 67 patients with hypoglycemic encephalopathy were recruited in the study. After the evaluation of neural function defect score(NIHSS), intravenous injection 60ml 50% hypertonic glucose, monitor blood glucose and other necessary treatment were given,and the patients'prognosis was observated with analyzing the factors affecting the prognosis.Results Patients' gender, smoking, body mass index, hypertension, high blood lipid, drinking and family history of diabetes had nothing to do with the prognosis of hypoglycemia encephalopathy(P>0.05). There were different prognosis when there were differences in patients' age, renal function, the blood glucose level in incidence, the duration of hypoglycemia(P<0.05).Conclusion The main factors influencing the prognosis of hypoglycemic encephalopathy are age of patients, hypoglycemia, hypoglycemia lasting time and renal function of patients, as to improve prognosis of patients with hypoglycemia encephalopathy,to find and correct the hypoglycemia and improve the renal function as soon as possible.

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更新日期/Last Update: 1900-01-01