新型冠状病毒肺炎患者血糖分析

Blood glucose analysis in patients with COVID-19

目的分析新型冠状病毒肺炎(COVID-19)患者的糖代谢情况。方法回顾性统计分析中山大学附属第五医院于2020年1月17日—2月25日收治的123例疑似COVID-19患者的临床资料。将其分为确诊COVID-19组(确诊组)和排除COVID-19组(排除组),根据国家卫生健康委公布的《新型冠状病毒肺炎诊疗方案(试行第七版)》将确诊患者分为轻型组、普通型组、重型组和危重型组。收集患者入院后血糖情况进行比较分析。结果确诊组73例血糖升高27例(36.99%),排除组50例血糖升高9例(18.00%)。确诊组73例仅1例有糖尿病史且平常血糖控制正常。与排除组相比,确诊组血糖水平升高(P<0.05)。重型组血糖升高较轻型组和普通型组差异有统计学意义(P<0.05)。1例患者死亡。结论COVID-19患者血糖水平明显升高,新型冠状病毒可影响感染者的糖代谢。

Objective To analyze the glucose metabolism in patients with COVID-19.Methods The clinical data of 123 patients with suspected COVID-19 admitted to our hospital from January 17 to February 25,2020 were analyzed retrospectively.The patients were divided into the confirmed COVID-19 group(confirmed group)and the excluded COVID-19 group(excluded group).According to the COVID-19 Diagnosis and Treatment Protocol(Trial version 7)released by the National Health Commission,the confirmed patients were divided into the mild group,the normal group,the severe group and the critical group.The blood glucose of patients after admission was collected for comparative analysis.Results In the confirmed group,27(36.99%)of the 73 patients had elevated blood glucose.In the excluded group,9(18.00%)of the 50 patients had elevated blood glucose.Only 1 of the 73 patients in the confirmed group had diabetes history and normal blood glucose control.Compared with the exclusion group,the blood glucose level in the confirmed group was significantly higher(P<0.05).The degree of elevated blood glucose in the severe group was significantly higher than that in the mild and normal group(P<0.05).One patient died.Conclusion The blood glucose level in patients with COVID-19 was significantly increased,and the coronavirus affected glucose metabolism in infected patients.