| 血糖控制对危重症应激性高血糖患者血清脂联素表达的影响 |
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| 引用本文： | 任晓红,刘虹.血糖控制对危重症应激性高血糖患者血清脂联素表达的影响[J].医学理论与实践,2011,24(7):754-755. |
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| 作者姓名： | 任晓红 刘虹 |
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| 作者单位： | 山西医科大学第一医院重症医学科,山西省太原市,030001 |
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| 摘 要： | 目的:探讨不同血糖控制水平与ICU危重症应激性高血糖患者血清脂联素表达的关系。方法:伴有应激性高血糖的60例ICU危重症患者,随机分为对照组(目标血糖8.1~11.1mmol/L),胰岛素常规治疗组(目标血糖6.1~8.1mmol/L)和胰岛素强化治疗组(目标血糖4.1~6.1mmol/L)。入选后第1、4、7天检测外周血血清脂联素水平的变化。结果:实验第1天,各组患者血清脂联素水平较正常水平均明显下降,血清脂联素与空腹血糖水平呈负相关。但三组间血清脂联素水平比较,无统计学差异(P>0.05)。实验第7天,与对照组患者相比,胰岛素常规治疗组和强化治疗组患者血清脂联素水平上升趋势更为明显,差异有统计学意义(P<0.05);但胰岛素常规治疗组和强化治疗组间比较血清脂联素水平无统计学差异(P>0.05)。结论:积极控制危重症患者合并的应激性高血糖有利于增加血清脂联素水平的表达,改善预后。
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| 关 键 词： | 危重症患者 应激性高血糖 脂联素 |
Effect of Blood Glucose Control on Serum Adiponectin Expression in Critically Ill Patients with Stress Hyperglycemia |
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| REN Xiaohong,LIU Hong.Effect of Blood Glucose Control on Serum Adiponectin Expression in Critically Ill Patients with Stress Hyperglycemia[J].The Journal of Medical Theory and Practice,2011,24(7):754-755. |
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| Authors: | REN Xiaohong LIU Hong |
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| Institution: | REN Xiaohong,LIU Hong.Intensive care unit,The First Hospital of Shanxi Medical University,Shanxi Province 030001 |
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| Abstract: | Objective:To investigate the correlation of blood glucose control with serum adiponectin expression in critically ill patients with stress hyperglycemia.Methods:Sixty critically ill patients with stress hyperglycemia were randomly divided into control group(target blood glucose 8.1~11.1mmol/L),conventional insulin therapy group(target blood glucose 6.1~8.1mmol/L)and intensive insulin therapy group(target blood glucose 4.1~6.1mmol/L).The expression of adiponectin in the peripheral blood serum of three group ... |
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| Keywords: | Critically ill patients Stress hyperglycemia Adiponectin |
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