肾综合征出血热患者血糖的动态变化

Dynamic Changes of Blood Sugar in Patients with Hemorrhagic Fever in Renal Syndrome

目的:了解肾综合征出血热(HFRS)患者血糖的动态变化及临床意义。方法:采用美国ABBDTT VPSUPER SYSTEM生化自动分析仪检测HFRS 213例不同病期的血糖水平。结果:HFRS患者血糖升高率达69.01%,血糖水平自发热期即开始增高,至低血压期达高峰(P<0.01),持续至恢复期仍未完全恢复正常(P<0.01)。血糖升高与病情轻重、预后均有关,重、危重型患者血糖值高于轻、中型患者(P<0.01)。血糖升高者的死亡率高于血糖正常的患者(P<0.05)。结论:动态检测血糖的变化有助于判断机体器官的恢复情况,了解病情轻重及判断预后。

Objective:To know the dynamic changes and their clinical significance of blood sugar (BS) in patients with hemorrhag-ic fever in renal syndrome (HFRS). Methods:The levels of BS in 213 patients with HFRS were tested with ABBOTT Super System. Results:The elevation rate of BS in patients with HFRS was as high as 69.01 % . Their BS levels began to rise from fever period,arrived a peak during low blood pressure period and remained a high level in convalescence (P<0.01).There was some relationship between BS and prognosis. The BS levels in severe case were higher than those in mild case (P < 0.01). Among severe cases, the mortality in patients with high BS level was higher than that with normal BS level (P < 0.05).Conclusion:To know the dynamic changes of BS is helpful to the diagnosis,treatment and prognosis.