Etiology analysis and nursing strategies of hypoglycemia coma in emergency department
10.7619/jcmp.201720010
- VernacularTitle:急诊糖尿病低血糖昏迷的病因分析及护理对策
- Author:
Cuifeng JIANG
1
;
Tingting FAN
;
Mengying ZHANG
;
Yongli ZHAO
Author Information
1. 皖南医学院弋矶山医院 急诊科
- Keywords:
diabetes;
hypoglycemia coma;
emergency;
nursing strategy
- From:
Journal of Clinical Medicine in Practice
2017;21(20):32-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the causes of hypoglycemia coma in emergency diabetes patients and its corresponding nursing strategies.Methods The reasons of hypoglycemia coma was retrospectively analyzed in our hospital and the risk factors of hypoglycemic coma were analyzed by multivariate logistic regression,and the corresponding nursing strategies were summarized.Results Of the 767 critically ill patients,100 (13.04％) had hypoglycemia,among whom 27 patients (3.52％) had severe hypoglycemia.Multivariate logistic regression analysis showed that patients with type 2 diabetes history,hypoglycemic drugs therapy,hypoproteinemia,renal insufficiency,hemodialysis,malnutrition were risk factors for hypoglycemic coma.While normal hemoglobin was a protective factor for hypoglycemic coma.Conclusion Hypoglycemia is the result of multiple factors in emergency patients.Reasonable nursing measures can effectively prevent the occurrence of hypoglycemic coma in emergency patients.
