血糖监测对甲型H1N1流感病情和预后判断的价值

目的探讨血糖监测对甲型H1N1流感病情和预后判断的价值。方法对187例甲型H1N1流感患者入院时的空腹静脉血糖,及住院过程中的血糖进行动态监测。比较不同病期患者血糖检测结果分析、血糖检测值与病情相关性及血糖监测值与疾病预后之间的关系。结果 I期、II期和III期患者在入院初期空腹血糖,分别为7.34±2.22mmol/L,16.54±5.33mmol/L和5.75±1.31mmol/L,差异有统计学意义（P〈0.01）;随着病情的加重,血糖检测值升高的程度越明显（P〈0.01）;血糖升高组患者平均住院日（14.1±7.5d）,血糖正常组（4.1±1.2 d）（P〈0.01）,出现后遗症的患者前者也明显多于血糖正常组（P〈0.05）。结论血糖监测在判断甲型H1N1流感病情变化和预后方面有着非常重要的意义。对于血糖短期内明显升高者应严密观察,及早进行干预,可部分阻止病情的进行性恶化。

The Analysis of Significance in Blood Glucose Monitoring for Patienle with Novel Influenza A(H1N1)Disease

Objective To research the the significance of blood glucose monitoring for biood glucose monitoring for pediatric patienle with novel influenza A（H1N1） disease.Methods Tested blood glucose of 187 pediatrie patients with novel influenza A（H1N1） disease on admission wheh fasting.Conducted active monitoring of blood glucose for all cases during treatment period in hospital.Analyzed the blood glucose test r,,,,esult of patients for different time period,and also the relationship between blood glucose index and prognosis of novel influenza A（H1N1）disease.Results ①Blood glucose level when fasting among the cases of hpaseⅡ（7.34±2.22mmol/L） and phaseⅢ（16.54±5.33）were sig-nificantly higher than of the normal cases（5.75±1.31mmol/L）（P0.01）at time of admission;②In the group of blood glucose in –creased cases,study showed as the disease progressing,the higher blood giucose were detected（P0.01）;③The pediatric patients with high blood glucose had longer average hospital stay（14.1±7.5d）than the pediatric patients with normal blood glucose（4.1±1.2d）（P0.01）,also the first group hab significanty high rate of post complications than the other group（P0.05）.Conclusion Blood glucose monitoring for pediatric patiente with novel influenza A（H1N1） disease has very important significance.The patient with blood glucose rise quickly in short time frame should be closely monitored and the intervention can be used to prevent the patients condition from aggravating