大面积烧伤并发应激性血糖增高的研究

Analysis of hyperglycemia in extensive burn patients with stress hyperglyec mia

目的：分析大面积烧伤患者应激性血糖增高情况，探讨其影响因素。方法：检测大面积烧伤并发应激性血糖增高患者的血糖值、糖化血红蛋白等，并通过年龄、烧伤面积对应激性高血糖组的影响来分析其影响因素。结果：（1）并发应激性高血糖者治愈率低于血糖正常者（P＜0．05）。（2）并发应激性高血糖者与年龄无明显的相关关系（P＞0．05），但与烧伤面积呈正相关关系（ P＜0．005）。结论：大面积烧伤并发应激性高血糖者其发病率受烧伤面积影响，与年龄无关。且其预后较血糖正常者差。

Objective：To analyze the situation of hyperglycemia in extensive burn patients with stress hyperglycemia .To find the influ-encing factors.Methods：We collected the clinic data of 434 extensive burn patients who was treated in the NO .1 hospital of Guangxi medical university from september 2003 to march 2011.We tested HBA1C, blood glucose and OGTT.Furthermore, we asked the history of diabetes , and divided these patients into normal group and complicated stress hyperglycemia group .We compared the cure rate of three groups to analyze the prognosis. Finally , we compared the complication of stress hyperglycemia in patients with different age groups and different incidence of burn area to analyze the complicated stress factor of stress hyperglycemia .Resu lts：1、 There was statistically signifi-cant difference in the cure rate between the two groups .（P=0.008）.2、Those with stress hyperglycemia was no significant correlation between the age （P〉0.05）, but positive correlation between burn size （P 〈0.005）.Conclusion：1、The incidence of stress hyperglyce-mia was affected by the area of burn , but not age .2、The prognosis of .extensive burn patients with stress hyperglycemia was worse than those with normal blood sugar .