血糖水平与肝衰竭患者预后的临床分析

Clinical analysis of blood glucose levels on the prognosis of liver failure

目的 探讨肝衰竭患者血糖水平与预后的关系.方法 回顾性分析152例肝衰竭患者的空腹血糖,以血糖水平分组,分析其与预后的关系.结果 肝衰竭患者发生糖代谢紊乱率较高,152例肝衰竭患者血糖异常121例（79.6%）,其中低血糖组92例（60.52%）,高血糖组29例（19.08%）.低血糖组病死率为66.30%（61/92）,高血糖组病死率为55.17% （16/29）,正常血糖组病死率为29.03%（9/31）,血糖异常组病死率明显高于血糖正常组（P〈 0.05）.结论 肝衰竭患者发生糖代谢紊乱比例较高,监测空腹血糖水平对于评价肝衰竭的预后和指导治疗有重要意义.

Objective To investigate the relationship between blood glucose level and prognosis on patients with liver failure.Methods The fasting blood glucose levels of 152 patients with liver failure were retrospectively analyzed.The patients were divided into different groups according with blood glucose, and the relationship between blood glucose level and the prognosis was analyzed.Results The rate of glucose metabolism disorder in patients with liver failure was higher.In all the samples, 121 cases （79.6%） were pathoglycemia, 92 cases（60.52%） were hypoglycemia, 29 cases （19.08%） were hyperglycaemia.The fatality rate of the hypoglycemia group was 66.30%（61/92）, that was 55.17% （16/29） in the hyperglycaemia group and 29.03%（9/31） in normal blood glucose group.The fartality rates of pathoglycemia groups was significantly higher than that in the normal group （P〈 0.05）.Conclusions The rate of glucose metabolism disorder in patients with liver failure is higher.Blood glucose level has an important clinical value in evaluating the prognosis and guiding the treatment of liver failure.