全身炎症反应综合征患者的血糖与病情严重程度的临床观察  

Clinical Study of Blood Glucose and Severity in Patients with SIRS

作　　者：张洪[1] 赵施竹[1] 

机构地区：[1]河南省鹤壁煤业集团总医院检验科,458000

出　　处：《医学研究杂志》2009年第9期89-90,共2页Journal of Medical Research

摘　　要：目的探讨全身炎症反应综合征(SIRS)患者血糖变化对病情严重程度评估的价值。方法对无糖尿病史的SIRS患者,采用前瞻性研究方法,在开通静脉通道前采集静脉血监测血糖,其后3～8h复查1次,24h后血糖仍异常者连续3天复查血糖。结果本组328例SIRS患者即时血糖高于正常值287例(87.5%),死亡44例(13.4%)。血糖值越高,病死率亦越高。结论SIRS患者常出现血糖升高,血糖高于正常值3倍以上的SIRS患者具有较高的病死率。Objective To study the value of blood glucose changes and the severity of the disease in patients with the systemic inflammatory response syndrome （SIRS）. Methods In 328 SIRS patients without diabetes, intravenous blood glucose was monitored before open intravenou channel and subsequently 3 - 8h after intervals. The blood glucose was reviewed if glucose was abnormal 24h later. Results The blood glucose was higher than normal in 287 （87.5%） patients with SIRS,of which 44 cases were death （13.4%）. The higher the blood glucose level was, the higher the mortality rate was. Conclusion Blood glucose of patients with SIRS was elevated. If the blood glucose was 3 times higher than the normal,patients with SIRS had a higher mortality rate.

关 键 词：全身炎症反应综合征 血糖 病情严重程度 

分 类 号：R59[医药卫生—内科学] R655[医药卫生—临床医学]