肝硬化并发肝源性糖尿病68例临床分析

目的探讨肝硬化合并肝源性糖尿病的临床特点。方法对肝源性糖尿病68例患者临床表现特点、糖尿病病情与肝功能分级的关系、胰岛素抵抗与肝功能分级的关系、治疗方法进行回顾性分析。结果肝源性糖尿病发生率高达37%,糖尿病的病情与肝功能分级之间有一定关系（P〈0.01）,血清胰岛素水平显著增高,胰岛素敏感性指数（ISI）下降,予胰岛素治疗,血糖控制良好。结论肝源性糖尿病是肝硬化常见的并发症,症状多不典型,糖尿病轻重与肝损害程度有关系,首选胰岛素治疗。

Effect of treatment in 68 cases of hepatocirrhosis with hepatogenous diabetes

Objective To examine the clinical feature of hepatogenous diabetes in patients with liver cirrhosis. Methods 68 cases with hepatogenous diabetes were examined of history tests for clinical feture, and methods of treatment. Compared the relationship between the blood glucose and Child-grades of liver function;the relationship between anti-insulin and Child -grades of liver. Results The occurrence rate of hepatogenous diabetes was as high as 37% . Hyperglycemia in patients with hepatocirrhosis was related to ...