标题：内分泌科住院患者低血糖发病情况分析

      作者：惠 蓉，张 艳
    （陕西省人民医院内分泌科，陕西 西安 710068）

      卷次： 2015年26卷2期

      【摘要】 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32 499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。

      【关键词】 糖尿病；低血糖；血糖监测；调查

      【中图分类号】 R58 【文献标识码】 B 【文章编号】 1003—6350（2015）02—0237—03


Research on incidence of hypoglycemia in inpatients of department of endocrinology.
HUI Rong, ZHANG Yan.
Department of Endocrinology, Shaanxi People's Hospital, Xi'an 710068, Shanxi, CHINA

【Abstract】 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.