病毒性肝病患者血糖异常的临床分析  

Clinical analysis of abnormal blood sugar in patients with viral hepatitis

作　　者：郑仕君[1] 韩先章[1] 肖飞霞[1] 

机构地区：[1]山东省即墨市人民医院感染性疾病科,山东即墨266200

出　　处：《中国医药导报》2009年第31期147-148,共2页China Medical Herald

摘　　要：目的:分析病毒性肝病并发血糖异常的临床特点、发病机制和防治方法。方法:回顾性分析我院112例病毒性肝病并血糖异常患者的临床表现、实验室检查及治疗等方面的资料。结果:病毒性肝病可并发血糖异常,糖尿病症状不明显。22例重症肝炎中有17例并发低血糖,仅5例并发高血糖。空腹血糖2.5～18.6mmol/L,餐后2h血糖5.9～24.7mmol/L,血钾2.54～5.12mmol/L。有101例控制理想,9例控制不理想,死亡2例。结论:急性肝炎并发血糖异常较少见,重症肝炎及重度慢性肝病并发血糖异常时以低血糖多见,且预后不良。在综合保肝基础上,积极维持血糖稳定,有利于肝病的恢复及降低病死率。Objective： To analyse the clinical characteristics, mechanisms and management of abnormal blood sugar in patients with viral hepatitis. Methods： We retrospectively reviewed the records of 112 viral hepatitis patients for a history of abnormal blood sugar to characterize clinical features, experimental examinations and therapeutic interventions among viral hepatitis patients with abnormal blood sugar. Results： Among 22 severe hepatitis patients, 17 patients had hypoglycemia, 5 patients had hyperglycemia, fasting blood sugar levels range from 2.5 mmol/L to 18.6mmol/L, blood sugar levels after meal range from 5.9 mmol/L to 24.7mmol/L, blood potassium levels range 2.54 mmol/L to 5.12 mmol/L. Blood sugar levels of 101 patients were well controlled, 9 patients had ill-controlled blood sugar, 2 patients died. Conclusion： Abnormal blood sugar is rare in acute hepatitis, abnormal blood sugar in severe hepatitis patients mainly presents hypoglycemia with a poor prognosis. Besides comprehensive treatments, maintaining blood sugar stabilization is helpful to patients recovery and to lower mortality of hepatitis patients with abnormal blood sugar.

关 键 词：病毒性肝炎 肝硬化 重症肝炎 血糖 糖代谢 

分 类 号：R512.6[医药卫生—内科学]