512例老年手术患者血糖分析  

Analysis of plasma glucose change in512cases of the old patients with operation

作　　者：晏日秀[1] 

机构地区：[1]广东医学院第二附属医院外科,广东湛江524003

出　　处：《吉林医学》2004年第10期37-38,共2页Jilin Medical Journal

摘　　要：目的:分析老年手术患者血糖变化的特点及其可能机制。方法:回顾性统计分析512例老年手术患者的临床资料。结果:512例老年手术患者中血糖升高者106例,68例愈后血糖恢复正常。所有患者术后均输注葡萄糖,输注葡萄糖剂量与血糖呈显著正相关(γ=0.216,P<0.01)。106例血糖升高者合并肝功能损害28例,406例血糖正常者合并肝功能损害者31例,两组间肝功能异常率差异有显著性(P<0.05)。结论:老年手术患者可能因应激、大剂量输注葡萄糖液诱发糖尿病,肝功能损害可能是引起血糖升高的原因之一。Objective To analyse the plasma glucose change in the old patients with operation and to discuss its possible mechanism.Method The clinical data of 512cases with operation were retrospectively analysed.Results Plasma glucose level in-creased in106cases with operation,among them,plasma glucose level recovered normal after operation in68cases.All of the512cases were treated with glucose liquid.Glucose liquid dosage was correlated positively with blood glucose level(r=0.216,P<0.01).A-mong106cases with hypeglycemia,28cases were accompanied by liver function disorder.Among the other406patients with normal plasma glucose,31cases were accompanied by liver function disorder.The difference was significant between two groups(P<0.05)Conclusion the old patients with operation are susceptible to diabetes because of the stress,the use of glucose liquid and the liver function disorder may contribute to it.

关 键 词：老年手术患者 血糖升高 肝功能损害 输注 正常 葡萄糖液 回顾性统计分析 结论 可能机制 合并 

分 类 号：R446.1[医药卫生—诊断学]