摘要
目的探讨急诊老年患者低血糖反应导致精神行为异常的临床表现及识别方法，提高早期分诊鉴别水平。方法选取2011年7月至2016年6月我院急诊科早期分诊的老年患者127例，其中低血糖反应伴精神行为异常者49例为观察Ⅰ组,低血糖反应而无精神行为异常者40例为观察Ⅱ组，血糖正常而出现精神行为异常者38例为对照组，进行即时血糖监测及简要病史采集。结果观察Ⅰ组患者指尖血糖波动在0．6～2．5mmol／L（其中1例死亡患者指尖血糖为0．1mmol／L），观察Ⅱ组患者指尖血糖波动在0．8～2．8mmol／L，对照组患者指尖血糖波动在4．1～5．9mmol／L。三组年龄比较差异无统计学意义（P〉0．05）：观察Ⅰ组与观察Ⅱ组的血糖值比较无差异（P〉0．05）；观察Ⅰ组、观察Ⅱ组的血糖值显著低于对照组，差异有统计学意义（P〈0．05）。结论老年急诊患者低血糖反应可导致精神行为异常风险增加，症状及表现形式多样，及时的血糖监测有助于急诊早期分诊与护理。
Objective To explore the clinical performance and recognition methods of mental behavioral abnormalities induced by hypoglycemia response in elderly emergency patients so as to improve the level of early triage and differential diagnosis. Methods 127 cases of elderly emergency patients admitted to our hospital from July 2011 to June 2016 were selected and divided into observation group I （49 cases, hypoglycemia response with mental behavioral abnormalities）, observation group II （40 cases, hypoglycemia response without mental behavioral abnormalities） and control group （38 cases, normal blood glucose with mental behavioral abnormalities）. All the patients received immediate blood glucose monitoring and brief history collection. Results The fingertip blood glucose fluctuation in observation group I was 0.6 to 2.5 mmol/L （including 1 case of death patient with 0.1 mmol/L of fingertip blood glucose）, 0.8 to 2.8 mmol/L in observation group II and 4.1 to 5.9 mmol/L in control group. Age had no significant difference among the three groups （P〉0.05）. Blood glucose in observation group I was not statistically different with observation group II （P〉0.05）. Blood glucose of observation group I and observation group II had statistically significant difference compared with the control group （P 〈0.05）. Conclusions As hypoglycemia response in elderly emergency patients increases the risk of mental and behavioral abnormalities with various symptoms and manifestations, timely monitoring of blood glucose is helpful to early triage and nursing in emergency department.
出处
《临床医学工程》
2016年第11期1567-1568,共2页
Clinical Medicine & Engineering
关键词
老年急诊患者
低血糖反应
精神行为异常
分诊
鉴别
Elderly emergency patients
Hypoglycemia response
Mental behavioral abnormality
Triage
Differential diagnosis
