肝源性糖尿病103例临床分析

Clinical Analysis of 103 Cases of Hepatic Diabetes

目的通过对肝源性糖尿病临床资料的分析,提高对该病的认识。方法对我院2005年1月～2009年12月诊治的肝源性糖尿病103例的临床资料进行回顾性总结分析。结果①肝源性糖尿病以男性多见,男女比例为2.96∶1;②慢性肝炎患者7例(6.80%),重型肝炎患者4例(3.88%),肝硬化患者92例(89.32%);③临床表现以肝病症状为主,糖尿病的"三多一少"症状少见;④通过控制饮食、保肝、抗病毒治疗或胰岛素治疗,除7例死亡外,其他患者血糖水平均得到较好控制。结论肝源性糖尿病多发生于肝硬化患者,通过临床综合治疗,大部分患者血糖可随肝功能改善而得到较好的控制。

Objective To improve the understanding of hepatic diabetes through the analysis of clinical data of the diseases. Methods The clinical data of 103 patients with hepatic diabetes in our hospital from January 2005 to December 2009 were retrospectively analyzed. Results （1）Hepatic diabetes was more common in male （male ： female was 2.96 ： 1）; （2）7 patients with chronic hepatitis （6.80%）, 4 patients with severe hepatitis （3.88%） and 92 patients with liver cirrhosis （89.32%）; （3）the main clinical symptom was liver disease, the ＂3 increase 1 decrease＂ symptom of diabetes was rare; （4）besides 7 cases of death, the other patients＇ blood glucose levels got better controll by controlling diet, taking liver protection and anti-viral or insulin therapy. Conclusion Hepatic diabetes occurs mainly in liver cirrhosis patients, most patients＇ blood glucose levels can be better controlled with the improvement of liver function through clinical comprehensive treatment.