中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
12期
8-10
,共3页
危重症患儿%应激性高血糖
危重癥患兒%應激性高血糖
위중증환인%응격성고혈당
Children with critical disease%Stress-induced hyperglycemia
目的 探讨危重症患儿血糖水平与病情和预后之间的关系.方法 对106例危重症患儿入院后即采集静脉血,用葡萄糖氧化酶法测血糖并进行动态监测,空腹血糖≥6.9 mmol/L诊断为高血糖.结果 正常对照组、单器官及多器官功能衰竭患儿组的血糖分别为(4.8±1.3)、(8.3±3.1)、(14.2±6.6)mmol/L(P<0.01),血糖浓度与器官功能衰竭个数呈正相关(r=0.461,P<0.01);危重症患儿血糖、血K+较对照组显著升高(P<0.01),血Na+、血Ca2+较对照组显著降低(P<0.05),血糖浓度与血Na+、Ca2+浓度呈负相关(r=-0.343,r=-0.452;P<0.01),与血K+浓度呈正相关(r=0.574,P<0.01);血糖<15 mmol/L组病死率13.06%,≥15 mmol/L组病死率54.54%,血糖值越高,病死率越高.结论 危重患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.
目的 探討危重癥患兒血糖水平與病情和預後之間的關繫.方法 對106例危重癥患兒入院後即採集靜脈血,用葡萄糖氧化酶法測血糖併進行動態鑑測,空腹血糖≥6.9 mmol/L診斷為高血糖.結果 正常對照組、單器官及多器官功能衰竭患兒組的血糖分彆為(4.8±1.3)、(8.3±3.1)、(14.2±6.6)mmol/L(P<0.01),血糖濃度與器官功能衰竭箇數呈正相關(r=0.461,P<0.01);危重癥患兒血糖、血K+較對照組顯著升高(P<0.01),血Na+、血Ca2+較對照組顯著降低(P<0.05),血糖濃度與血Na+、Ca2+濃度呈負相關(r=-0.343,r=-0.452;P<0.01),與血K+濃度呈正相關(r=0.574,P<0.01);血糖<15 mmol/L組病死率13.06%,≥15 mmol/L組病死率54.54%,血糖值越高,病死率越高.結論 危重患兒血糖濃度與病情危重程度呈正相關,血糖越高,病情越嚴重,預後越差.
목적 탐토위중증환인혈당수평여병정화예후지간적관계.방법 대106례위중증환인입원후즉채집정맥혈,용포도당양화매법측혈당병진행동태감측,공복혈당≥6.9 mmol/L진단위고혈당.결과 정상대조조、단기관급다기관공능쇠갈환인조적혈당분별위(4.8±1.3)、(8.3±3.1)、(14.2±6.6)mmol/L(P<0.01),혈당농도여기관공능쇠갈개수정정상관(r=0.461,P<0.01);위중증환인혈당、혈K+교대조조현저승고(P<0.01),혈Na+、혈Ca2+교대조조현저강저(P<0.05),혈당농도여혈Na+、Ca2+농도정부상관(r=-0.343,r=-0.452;P<0.01),여혈K+농도정정상관(r=0.574,P<0.01);혈당<15 mmol/L조병사솔13.06%,≥15 mmol/L조병사솔54.54%,혈당치월고,병사솔월고.결론 위중환인혈당농도여병정위중정도정정상관,혈당월고,병정월엄중,예후월차.
Objective To investigate the relationship between levels of blood glucose and organ failure,prognosis in children with critical disease. Methods Venous blood glucose of 106 children with critical disease were analyzed with the method of glucose oxydase after admission and continuously monitored that.The index of hyperglycemia was value of fasting blood glucose ≥6.9 mmol/L. Results The level of glucose of the normal control group, haplo-organ failure group and multiple-organ failure group were (4.8±1.3),(8.3±3.1),(14.2±6.6) mmol/L, respectively (P<0.01).The quantity of organ failure was positive correlation with the level of blood glucose (r=0.461,P<0.01). The blood glucose,K+ of children with critical disease were significant increase as to normal control group(P<0.01), but blood Na+ and Ca2+ were lower in contrast. The level of glucose was positive correlation with the level of blood Na+,Ca2+ (r=-0.343,r=-0.452;P<0.01) and negative correlation with blood K+(r=0.574,P<0.01). The mortalities were 13.06% and 54.54% in corresponding blood glucose levels of less than 15 mmol/L and more than 15 mmol/L. The higher the blood glucose value, the higher the death rate. Conclusions The level of blood glucose in children with critical disease is closely associated with organ failure and prognosis,the higher the blood glucose value is, the pathogenetic condition is more severity, the prognosis is more imminent.
