肝硬化并发肝源性糖尿病41例临床分析

Clinical analysis of 41 patients with hepatic cirrhosis and hepatic diabetes

目的探讨肝硬化并发肝源性糖尿病的临床特点及治疗方法。方法对41例肝硬化并发肝源性糖尿病患者的临床特点、治疗方法及预后进行回顾性分析。结果肝硬化并发肝源性糖尿病以肝硬化的症状为主,很少出现糖尿病症状,血糖以餐后血糖升高为著。治疗上经控制饮食、保肝治疗后血糖好转,必要时胰岛素治疗。结论肝硬化并发肝源性糖尿病,临床表现不典型,以餐后高血糖为特征,肝源性糖尿病的治疗需要采取综合治疗措施,但应及早使用胰岛素,大部分患者的血糖随肝功能的改善而改善。

Objective To research the clinical characteristics and treatments of hepatic cirrhosis with hepatic diabetes. Methods Forty-one patients with hepatic cirrhosis and hepatic diabetes were retrospectively analysed of the clinical characteristics, treatments and prognosis. Results The symptoms were mainly from hepatic cirrhosis and seldomly from diabetes in the patients with hepatic cirrhosis and hepatic diabetes ;the postprandial hyperglycemia was quite obvious;the blood sugar could go better after controling diet and protecting liver,and using insulin when necessary. Conclusion The clinical manifestations of diabetes are atypical and a characteristic as postprandial hyperglycemia is found in the patients with hepatic cirrhosis and hepatic diabetes. The therapy of hepatic diabetes must be synthetically treatments and insulin is used as soon as possible, the blood sugar can go better with the improvement of liver function in most of the patients.