应激性高血糖对危重病儿预后的影响  

The effect of irritable hyperglycemia on the prognosis of critical sick children

作　　者：游锦安[1] 王明义[1] 

机构地区：[1]江门市新会区人民医院,广东江门529100

出　　处：《基层医学论坛》2007年第7期583-584,共2页The Medical Forum

摘　　要：目的探讨应激性高血糖对危重病患儿预后的影响。方法回顾分析2003年1月～2005年12月我科收治的128例危重病患儿的血糖变化情况,分析血糖变化与病情严重程度及预后的关系。结果血糖>6.67mmol/L者83例(占64.84%);应激性高血糖浓度与功能衰竭器官的个数呈正相关关系(P<0.05);血糖<15mmol/L,病死率为12.50%,血糖>15mmol/L,病死率达57.89%,后组病死率显著高于前组(P<0.05)。结论危重病儿血糖浓度与病情危重程度呈正相关,血糖越高,病情越严重,预后越差。Objective To study the effect of irritable hyperglycemia on the children with critical diseases. Methods The levels of blood sugar in 128 children with critical diseases were reviewed in our department from January 2003 to December 2005. The relationship between levels of blood sugar and state of illness and prognosis was studied. Results The level of blood sugar of 83 eases was more than 6.67 mmol/L（64.84% ）.There was positive correlation between irritable hyperglycemia and the number of Organ failure （P〈0.05）.The mortalities in the patients whose blood sugar less than 15 mmol/L was 12.50%. Meanwhile,the mortalitie of the patients whose blood sugar more than 15 mmol/L was 57.89%. The different was significant （P〈0.05）.Conclusion There is positive correlation between irritable hyperglycemia and state of illness, higher the blood sugar is ,the more serious children＇s situation is and the poorer prognosis is.

关 键 词：高血糖 危重病 器官功能衰竭 

分 类 号：R720.597[医药卫生—急诊医学]