不同类型糖代谢紊乱与老年危重病人APACHEⅡ评分相关性分析

The Relationship Between the Different Style of Glucose Metabolic Disorders and APACHEⅡ in Critically ill older Patients

目的:探讨不同类型的糖代谢紊乱与老年危重病人APACHEⅡ评分的相关性。方法:将147例内科危重病人分成3组(原有糖尿病组、应激性高血糖组和正常血糖组),分析比较三组病人在APACHEⅡ评分和病死率的区别。结果:糖尿病组、应激性高血糖组的APACHEⅡ评分和死亡率高于血糖正常组,以应激性高血糖组最为明显。结论:各种糖代谢紊乱均可加重老年危重病人的病情发展,尤其要重视应激性高血糖的处理。

Objective： To investigate the relationship between the different style of glucose metabolic disorders and APACHE Ⅱ in critically patients. Method： 147 cases of critical ill patients were divided into three groups： DM （diabetes mellitus） - group, SHG （stress - induced hyperglycemia） - group and non - DM group, the severe degrees in every group were evaluated by APACHE Ⅱ scores. Result： APACHE Ⅱ scores were markedly higher in DM - group and SHG - group than non - DM group （P 〈 0.01）, especially in SHG - group, the mortality rate of SHG was the highest in three groups. Conclusion： The every style cose metabolic disorders may increase danger of critical ill patients, the effective control of hypergl should not be ignored, especially in SHG patients.