摘要
目的分析胃肠息肉摘除术后老年患者低血糖反应的发生原因。方法回顾性分析于2019年11月至2020年11月在我院行胃肠息肉摘除术的120例老年患者资料,分析术后引起低血糖反应的原因。结果(1)低血糖组与非低血糖组患者年龄、是否有糖尿病、术前是否补液、术前禁食时间、术前等待时间、术前是否情绪不稳定、术前夜晚睡眠时间比较差异有统计学意义(均P<0.05)。(2)Logistic回归分析显示术后发生低血糖反应与年龄>70岁(OR=4.266,95%CI=1.120~16.162);伴糖尿病(OR=4.094,95%CI=1.311~12.773);术前未补液(OR=10.923,95%CI=.2.882~41.386);术前禁食时间≥10 h(OR=9.042,95%CI=2.571~31.645);术前等待时间≥12 h(OR=7.035,95%CI=1.855~26.651);术前情绪不稳定(OR=4.25,95%CI=1.263~14.370);术前夜晚睡眠时间<6h(OR=5.952,95%CI=1.760~19.992)有关(均P<0.05)。结论胃肠息肉摘除术后导致老年患者低血糖反应发生的原因较多,因此应做好评估工作和预防措施,降低低血糖反应的发生,保障患者治疗有效性和安全性。
Objective To analyze the causes of hypoglycemia in elderly patients after resection of gastrointestinal polyps.Methods We retrospectively analyzed the data of 120 elderly patients who underwent gastrointestinal polypectomy in our hospital from November 2019 to November 2020,and analyzed the reasons for postoperative hypoglycemia.Results(1)There were significant differences between the hypoglycermic group and the non-hypoglycemic group in age,diabetes,preoperative fluid replacement,preoperative fasting time,preoperative waiting time,preoperative emotional instability,and preoperative night sleep time(all P<<0.05).(2)Logistic regression analysis showed that postoperative hypoglycemia was associated with age.>70 years(OR=4.266,95%CI:1.120-16.162);Diabetes mellitus(OR=4.094,95%CI:1.311-12.773);No fluid was taken before surgery(OR=10.923,95%CI=2.882-41.386);Preoperative fasting time≥10 h(OR=9.042,95%CI:2.571-31.645);Preoperative wait time≥12 h(OR=7.035,95%CI:1.85526.651);Preoperative emotional instability(OR=4.25,95%CI:1.263-14.370);The preoperative night sleep time<6 h(OR=5.952,95%CI:1.760-19.992)was closely related(all P<0.05).Conclusions There are many reasons for the occurrence of hypoglycemia in elderly patients after gastrointestinal polyp removal.Therefore,evaluation work should be done and preventive measures should be taken to reduce the occurrence of hypoglycemia and ensure the effectiveness and safety of treatment for patients.
作者
郁国芬
来亚芳
董自卫
Yu Guofen;Lai Yafang;Dong Zirwei(Special Ward,Hangzhou Red Cross Hospital,Hangzhou 310003,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2021年第9期1147-1149,共3页
Chinese Journal of Geriatrics
基金
杭州市发展扶持科技专项(2021WJCY017)。
关键词
息肉
低血糖症
Polyps
Hypoglycemia
