Causes and intervention measures of hypoglycemia in elderly patients after gastrointestinal polypectomy / 中华老年医学杂志

ABSTRACT

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 hypoglycemic 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 1.855-26.651); 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.