急性胰腺炎患者血糖变化及其临床意义  

Change of Blood Glucose and Its Clinical Significance in the Patients with Acute Pancreatitis

作　　者：程建华[1] 何明鑫[1] 钟必强[1] 倪平志[1] 王润华[1] 

机构地区：[1]贵州省人民医院普外科,贵阳550002

出　　处：《中国普外基础与临床杂志》2002年第4期261-262,共2页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的　探讨急性胰腺炎患者血糖变化及其临床意义。方法　分析血糖增高的 115例各型急性胰腺炎患者血糖升降的规律及其与预后的关系。结果　 115例急性胰腺炎患者血糖均升高。其中轻型、重症Ⅰ型和Ⅱ型患者血糖的中位数分别为 8.7mmol/L、18.45mmol/L和 2 7.2 2mmol/L ,治疗后血糖恢复正常时间分别为 3～ 17d、7～ 2 6d和2 4～ 46d ,3组间差异有显著性意义 (P<0 .0 0 1)。 115例中 66例应用胰岛素 ,其中 85例轻型者中仅 3 6例使用 ,而 3 0例重型者则全部使用 ,且使用量大。结论　急性胰腺炎程度越重 ,血糖增高幅度及胰岛素用量越大 ,血糖恢复正常时间越长。Objective To investigate the change of blood glucose and its clinical significance in patients with acute pancreatitis (AP). Methods The regularity of blood glucose change and the relation between the regularity and the prognosis were analyzed in 115 patients with AP and hyperglycemia.Results Blood glucose was increased with a median ( M ) of 8.7 mmol/L,18.45 mmol/L and 27.22 mmol/L, which gradually decreased to normal value within 3-17 days, 7-26 days and 24-46 days after treatment,respectively in patients with mild AP, type Ⅰ of severe acute pancreatitis (SAP) and type Ⅱ of SAP. There was marked statistical difference among the three groups. A smaller dose of regular insulin was used for 36 patients with mild AP; however, a larger dose of regular insulin was used for all 30 patients with SAP.Conclusion The level of blood glucose, the dose of regular insulin and the duration of hyperglycemia increase with the severity of AP.

关 键 词：急性胰腺炎 血糖变化 AP 临床分析 

分 类 号：R657.51[医药卫生—外科学]