肝硬化合并糖尿病45例分析

目的:探讨肝硬化合并肝源性糖尿病患者的临床特点及治疗方法。方法:对45例肝硬化合并肝源性糖尿病患者的临床资料进行回顾性分析。结果:186例肝硬化患者合并肝源性糖尿病45例(24.2%),肝源性糖尿病临床表现不典型,空腹血糖大多轻度升高,控制饮食及改善肝功能或胰岛素治疗有效。结论:肝硬化合并肝源性糖尿病发生率较高,临床表现不典型,肝源性糖尿病的治疗需要采取综合措施,积极治疗原发病,及早使用胰岛素。

Analysis of 45 cases with hepatic cirrhosis and diabetes

Objective：To explore the clinic character and treatment of patients with hepatic cirrhosis and diabetes.Methods：Retrospectively analyzed clinic date of 45 cases with hepatic cirrhosis complicated by diabetes.Results：The incidence of hepatic cirrhosis complicated with hepatic diabetes was 24.2% with atypical manifestation and slight increase of blood fasting sugar.Control of diet and improvement of hepatic function or insulin therapy was effective.Conclusion：With high incidence and atypical manifestation,patients with hepatic cirrhosis complicated by hepatic diabetes need combined treatment.Besides the treatment of primary disease and early administration of insulin are important,too.