肝源性糖尿病45例临床分析

目的探讨肝源性糖尿病的临床特点及治疗。方法观察45例肝硬化合并肝源性糖尿病患者的临床表现,检测治疗前、治疗后的血糖情况并进行比较分析。结果肝源性糖尿病患者以肝病表现为主,血糖波动较大,以餐后2h血糖升高为主;而Child-pugh分级C级患者的血糖明显高于A、B级患者,有并发症的患者血糖明显高于无并发症的患者。结论肝硬化患者易发生糖代谢紊乱,血糖水平与肝功能情况密切相关,经早期积极治疗,血糖基本可降至理想范围并稳定。

Clinical analysis of 45 cases of hepatogenous diabetes

Objective To discuss the clinical features and treatment of hepatogenous diabetes. Method The clinical manifestations of forty-five cases of cirrhosis complicated with hepatogenous diabetes were observed; their blood glucose levels were detected before and after treatment and the results were compared.Result The main clinical manifestations of patients with hepatogenous diabetes were those of liver disease. The blood glucose fluctuated remarkably with elevated 2 h postprandial glucose. The blood glucose levels of Child-pugh grade C patients were significantly higher than those of A and B grade patients,and the glucose levels of patients with complications were significantly higher than those of patients without complications. Conclusion The patients with liver cirrhosis are prone to disorders of glucose metabolism; their blood glucose levels and liver function are inextricably linked. By early active treatment,blood glucose can be reduced to and mainteined within the ideal range.