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糖尿病对慢性重型肝炎病情的影响分析
引用本文:张宇锋,徐启桓,陈禄彪,江元森. 糖尿病对慢性重型肝炎病情的影响分析[J]. 中国医疗前沿, 2010, 5(17): 3-4
作者姓名:张宇锋  徐启桓  陈禄彪  江元森
作者单位:广州,510630,中山大学附属第三医院
基金项目:国家十一五科技重大专项课题
摘    要:目的分析慢性重型病毒性肝炎合并糖尿病,临床转归上的特点。方法回顾性分析慢性重型病毒性肝炎合并糖尿病患者肝功能各项指标、各种并发症以及转归。结果在相同住院时间段慢性重型病毒性肝炎合并糖尿病组患者胆红素值较无合并糖尿病组高(P〈0.05),且合并糖尿病组患者起病后总胆红素增至峰值的时间延长(51.4±36.7Vs40.9±34.6d,P=0.039),住院期间总胆红素恢复的速率更缓慢(P〈0.001)。合并糖尿病组患者更容易并发感染、肝肾综合症、肝性脑病(P〈0.05)。合并糖尿病组患者病情未愈或死亡的比例更高(54/87Vs46/121,P=0.001)。结论慢性重型病毒性肝炎合并糖尿病导致病情不易恢复,预后差。易并发感染、肝肾综合症、肝性脑病等,总胆红素增至峰值所需的时间延长,恢复缓慢。

关 键 词:慢性重型肝炎  糖尿病  转归

Effect of diabetes on the prognosis of chronic liver failure
ZHANG Yu-feng,XU Qi-huan,CHEN Lu-biao,et al.. Effect of diabetes on the prognosis of chronic liver failure[J]. China Healthcare Innovation, 2010, 5(17): 3-4
Authors:ZHANG Yu-feng  XU Qi-huan  CHEN Lu-biao  et al.
Affiliation:ZHANG Yu-feng,XU Qi-huan,CHEN Lu-biao,et al. Department of Infectious Diseases,Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China
Abstract:Objective To analysis the characters on the prognosis of chronic liver failure of viral hepatitis accompanying with diabetes. Methods To retrospectively analysis the liver function, complications and the prognosis of patients with chronic liver failure of viral hepatitis accompanying with diabetes. Results The level of bilirubin in patients with chronic liver failure of viral hepatitis accompanying with diabetes was higher than that in patients without diabetes (P<0.05). The time from the onset to the peak ...
Keywords:Chronic liver failure  Diabetes  Prognosis  
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