摘要
目的探讨肝源性糖尿病与慢性肝病临床类型的关系。方法对肝源性糖尿病61例临床资料进行回顾性分析。结果肝源性糖尿病的发生率在乙型肝炎患者中为9.8%(61/623),其中慢性肝炎患者中为7.1%(28/396),慢性重型肝炎中为6.4%(5/78);肝硬化中为22.1%(33/149),与慢性肝炎、慢性重型肝炎相比,差异显着(P<0.01)。肝源性糖尿病患者中血糖重度升高的比率,肝硬化与慢性肝炎、慢性重型肝炎相比,差异显着(P<0.01)。结论糖尿病是慢性肝病的常见并发症,多发生于肝硬化患者,糖尿病轻重与肝损害程度成正比。在控制饮食、保肝、抗病毒和胰岛素治疗后,效果较好。
Objective Toinvestingate relationships between hepatogenic diabetes and the clinical types of chronic liver diseases. Methods Clinical data of 623 liver diseases and 61 hepatogenic diabetes patients were collected and analyzed. Results of 623 liver diseases patients,9.8%（61/623）were hepatogenic diabetes,of 396 chronic hepatitis patients, 7.1%（28/396） were hepatogenic diabetes, of 78 chronic failure hepatitis patients,6.4%（5/78）were hepatogenic diabetes, of 149 liver cirrhosis patients, 22.1%（33/149） were hepatogenic diabetes （P〈0.01）. Conclusion Diabetes were common complication of chronic liver diseases,the patients of cirrhosis were pron to be resulted in hepatogenic diabetes the effectiveness of treatment of hepatogenic diabetes patients will be raised by protecting liver function.
