危重症患者发生应激性高血糖症的影响因素

The Influencing Factors of Stress-induced Hyperglycemia in Critically Ill Patients

目的:探讨危重症患者应激性高血糖症的影响因素。方法:188例重症监护病房(ICU)非糖尿病危重患者,按年龄及病因分组,观察各组应激性高血糖症发生率。结果:老龄危重患者应激性高血糖症发生率高于其它年龄组;重症中枢神经系统损害及急性重症胰腺炎患者组应激性高血糖症发生率高于其它病因组,2组间相比差异无统计学意义。结论:老龄危重症患者及重症中枢神经系统损害、急性重症胰腺炎患者更易发生应激性高血糖症。

Objective：To explore the influencing factors of stress-induced hyperglycemia in critically ill patients.Methods：Blood glucose of 188 non-diabetic critically ill patients from ICU were divided into groups according to age and different etiology,and the incidence of stress hyperglycemia was observed.Results：The incidence of hyperglycemia in elderly critically ill patients was higher than that in the other age groups.The incidence of hyperglycemia was higher in patients with severe central nervous system（CNS）damage and severe acute pancreatitis（SAP）than that in the other etiology groups,there was no statistical significance between above two groups.Conclusions：The old critically ill patients with severe damage of CNS and SAP are more likely to develop stress-induced hyperglycemia.