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危重患儿血糖水平与病情预后的关系 被引量:2

The blood glucose's level and the state of illness prognosis in critical patients
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摘要 目的:探讨危重患儿血糖水平与病情预后的关系。方法:对156例危重患儿进行血糖监测,同时对各脏器功能进行监测,轻中度高血糖采用限糖治疗。重度高血糖患儿随机分成2组,限糖治疗组(20例),小剂量胰岛素治疗组(20例),观察血糖下降速度及预后。结果:发生高血糖90例,患病率为57.7%。血糖值越高器官功能障碍越多,病死率越高。重度高血糖用小剂量胰岛素治疗组血糖下降快,病死率较未用胰岛素治疗组低。结论:危重患儿病情越重,血糖水平越高,器官障碍数越多,病死率越高,而重度高血糖组应用小剂量胰岛素治疗可有效阻止血糖进一步升高,减少危重患儿病死率。 Objective:To explore the blood glucose's level and the state of illness prognosis in critical patients. Methods:156 cases with critical illness were included in the study to monitor the blood glucose and the viscera's function at the same time. The patients of hyperglycemia with low and middle levels were adopted a therapy of the blood glucose limitation. The patients of hyperglycemia with serious level were divided into two groups. One group with 20 cases were adopted the therapy to limit the blood glucose. The other one with 20 cases were adopted the therapy with little doses insulin. All above were observed the decreasing speed of the blood glucose and predicted the prognosis from the bases. Results :There were 90 cases who got hyperglycemia. And the rate of suffering from the illness was 57.7 percent. The higher the blood glucose's level was, the more serious the obstacle of the organ's function would be. The blood glucose decreased remarkably in the group of serious hyperglycemia who were adopted little doses insulin. In comparison with the other group which didn't use the insulin. The mortality rate of the patients in this group was lower. Conclusion :The more serious the state of illness in critical patients was ,the more higher the level of blood glucose would be. And at the same time with the much more obstacle of the organ's function and the more higher of the mortality rate. However it could prevent the blood glucose from coming higher than before effectively and reduce the mortality rate of the critical patients.
作者 何勤
出处 《华夏医学》 CAS 2007年第3期438-440,共3页 Acta Medicinae Sinica
关键词 危重患儿 血糖水平 预后 critical patients level of blood glucose prognosis
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