曾誌復 陈日秋 丁莉

[摘要] 目的 探讨分析糖尿病患者无症状低血糖的发生特点及采取监测应用动态血糖检测系统的机制。 方法 选取2015年1月～2017年7月在本院接受治疗的糖尿病患者120例，对该120例患者的临床资料进行回顾分析，分析住院糖尿病患者无症状低血糖的发生特点；另外，对该120例患者应用动态血糖监测系统，分析动态血糖监测系统的机制。 结果 住院糖尿病患者无症状低血糖在凌晨、午餐前、早餐前及睡前的发生率普遍较高（P<0.05）；应用动态血糖监测系统后，患者的低血糖发生率明显低于应用动态血糖监测系统前（P<0.05）。 结论 住院糖尿病患者容易发生无症状低血糖，应用动态血糖监测系统能够实时监测患者的血糖情况，明显改善患者的血糖指标，值得在临床上进一步推广应用。

[关键词] 糖尿病患者；无症状低血糖；发生特点；动态血糖监测系统

[中图分类号] R587.1 [文献标识码] B [文章编号] 1673-9701（2018）25-0112-04

[Abstract] Objective To analyze the characteristics of asymptomatic hypoglycemia in the patients with diabetes mellitus and the mechanism of monitoring and applying the dynamic blood glucose monitoring system. Methods 120 patients with diabetes mellitus who were admitted to our hospital from January 2015 to July 2017 were selected. The clinical data of the 120 patients were analyzed retrospectively. The characteristics of asymptomatic hypoglycemia in the inpatients with diabetes mellitus were analyzed； in addition， the dynamic blood glucose monitoring system was applied to the 120 patients. The mechanism of the dynamic blood glucose monitoring system was analyzed. Results The incidence rate of asymptomatic hypoglycemia in hospitalized patients with diabetes was generally higher in the early morning， before lunch， before breakfast and before bedtime（P<0.05）； after the application of the dynamic blood glucose monitoring system， the incidence rate of hypoglycemia in the patient was significantly lower than that before the application of dynamic blood glucose monitoring system（P<0.05）. Conclusion Inpatients with diabetes mellitus are prone to asymptomatic hypoglycemia. The application of dynamic blood glucose monitoring system can monitor the patients' blood glucose status in real time and significantly improve the patients' blood glucose index， which is worthy of further promotion and application in clinical practice.

[Key words] Patients with diabetes mellitus； Asymptomatic hypoglycemia； Characteristics of occurrence； Dynamic blood glucose monitoring system

糖尿病是一種常见的疾病，在临床上，如今有越来越多的糖尿病患者。糖尿病的主要发病机制是患者体内的胰岛素分泌不足，无法促进人体对于葡萄糖的袖手，也无法促进其转化为热体脂质等，导致患者体内水电解质、脂肪等失衡[1]。糖尿病的发病原因有很多，主要包括免疫功能失调、遗传因素等[2]。为了保证治疗效果，患者大多都选择住院治疗，但是患者在住院期间的治疗中容易发生无症状低血糖。一般情况下发生的低血糖均伴有心悸、出汗等明显的症状，但是无症状低血糖发生的时间段往往是医护人员不对其进行血糖监测的阶段，因此比较难发现。轻度的低血糖对患者影响不是很大，但是如果不及时发现，很容易引发患者严重低血糖，严重低血糖可能会对患者的神经系统造成影响，包括认知障碍、神志不清等，严重时甚至导致患者出现昏迷[3]。……