内分泌科住院患者低血糖发病情况分析

摘要

Objective To discuss the time distribution in incidence of hypoglycemia in inpatients of endocri-nology department, to provide evidence for adjustment of treating strategy. Methods Inpatients of endocrinology de-partment in our hospital between April and October 2013 who needed blood glucose monitoring were selected as the sub-jects. Blood glucose was monitored at empty stomach, before breakfast, before dinner, two hours after three meals, be-fore sleeping, and 3:00 A.M, then the glucose data were downloaded and analyzed. Results Among altogether 32 499 times of monitoring, 0.9%were with hypoglycemia and 1.03%with low blood sugar. Hypoglycemia occurred most fre-quently before dinner, dawn and lunch, and the monitoring frequency of these three times were low. Conclusion Hy-poglycemia occurred most frequently before dinner, before dawn, and before lunch. Reinforcements on blood glucose monitoring of these three times and interventions should be adopted for better curative effect.%目的：探讨内分泌科患者低血糖发生情况、时间分布特点等，为调整治疗方案提供依据。方法以本院内分泌科2013年4~10月需要床旁血糖监测的患者为研究对象，用便携式血糖仪监测空腹、午餐前、晚餐前、三餐后2 h、睡前、凌晨3时的血糖，下载血糖数据后统计分析。结果共监测血糖32499次，其中低血糖占0.9%，血糖偏低占1.03%；晚餐前、凌晨和午餐前低血糖发生密度较高，依次为2.85%、1.74%、1.60%；这3个时间点的监测频率较低。结论低血糖高发时点集中在晚餐前、凌晨和午餐前，加强对这3个时点的血糖监测，并采取干预措施，效果理想。