[摘要] 目的 探讨糖尿病肾病患者血液透析过程中低血糖发生的原因及防治措施。 方法 选择我院糖尿病肾病血液透析患者35例进行临床观察，所有患者均进行一般性治疗，并且有效地控制血糖和血压。血液透析每周2～3次，每次4～4.5h。详细记录透析过程中血糖水平，严密观察临床表现，及时发现低血糖变现，及时采取护理措施。 结果 随着透析时间的延长，患者血糖水平开始逐步下降，血糖变化在透析1小时左右下降的幅度最大，随着进食及用药血糖又可逐步上升。 结论 糖尿病肾病患者透析过程中容易出现低血糖，透析前应用降糖药物以及进食量少的患者更易发生低血糖。对于糖尿病肾病透析患者，透析前应当减少或者停用降糖药物，并加强透析过程中血糖监测，密切观察病情，给予预防性用药，能够有效降低血液透析过程中低血糖的发生。

    [关键词] 糖尿病肾病；血液透析；低血糖；护理

    [中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616(2015)18-77-04

    [Abstract] Objective To explore causes and preventive measures of occurrence of hypoglycemia during hemodialysis of diabetic nephropathy patients. Methods 35 diabetic nephropathy patients receiving hemodialysis were given clinical observation and general treatment. Their blood glucose and blood pressure were effectively controlled. Hemodialysis was 4-4.5 hours at every time for 2-3 times one week. In the process of hemodialysis ......