探讨肺心病急性加重期对血糖的影响

Investigation on the Effect of Blood Glucose on Acute Exacerbation of Pulmonary Heart Disease

目的分析肺心病急性加重期患者血糖变化情况,探讨该疾病对血糖的影响及治疗方法。方法收集我院治疗的肺心病急性加重期患者45例,观察其急性加重期与平稳期血糖变化情况。结果急性加重期空腹血糖(9.8±1.3)mmol/L,平稳期空腹血糖为(3.2±1.1)mmol/L,急性加重期餐后2 h血糖(10.3±1.9)mmol/L,缓解期的餐后2 h血糖为(7.4±1.5)mmol/L,患有肺心病的患者血糖升高,P<0.05,差异具有统计学意义。结论肺心病急性加重期有伴发高血糖的可能性增加,且血糖升高影响患者治疗的病程及预后,应积极治疗。

Objective To analyze the changes of blood glucose in patients with acute exacerbation of chronic pulmonary heart disease,and to explore the influence of the disease on blood glucose and treatment methods. Methods 45 patients with acute exacerbation of pulmonary heart disease treated by our hospital and 45 healthy people were collected,and the changes of blood glucose were observed. Results Pulmonary heart disease group of fasting blood glucose（9.8±1.3）mmol/L was higher than that of the plateaued fasting blood glucose（3.2±1.1）mmol/L,pulmonary heart disease group of postprandial 2 hours blood glucose（10.3±1.9）mmol/L,plateaued postprandial 2 hours blood glucose was（7.4±1.5）mmol/L,P〈0.05,with statistical significance. Conclusion The possibility of acute exacerbation of chronic pulmonary heart disease is associated with high blood sugar,and the influence of hyperglycemia on the course of treatment and prognosis,should be actively treated.