肝源性糖尿病52例预后相关因素分析

目的探讨肝源性糖尿病预后的相关因素。方法对肝源性糖尿病患者52例临床资料进行回顾性分析。结果肝源性糖尿病的发生率患者中为6.8%(52/758),肝硬化为18.9%(35/185),与慢性肝炎相比差异显著(P<0.01)。肝源性糖尿病患者中的血糖重度升高的比率:肝硬化与慢性肝炎相比,差异显著(P<0.01)。结论糖尿病是慢性肝病的常见并发症,多发生于肝硬化患者,糖尿病轻重与肝损害成正比,肝源性糖尿病的预后与年龄、饮食、身体素质、饮酒、用药合理性、并发症等因素相关,控制饮食、保肝、抗病毒和胰岛素治疗效果较好。

Analyze the prognosis factor in 52 hepatogenic diabetes patients

Objective Discuss the prognosis factor of hepatogenic diabete. Methods Clinical data of 52 hepatogenic diabetes patients were collected and analyzed. Results Of 758 chronic liver disease patients, 6.86% (52/758) were hepatogenic diabetes. Of 185 cirrhosis patients, 18.9% (35/185) were hepatogenic diabetes, which makes significant diference (P<0.01), the rate of blood sugar highly promoted in hepatogenic diabetes makes significant different between cirrhosis and chronic liver disease (P<0.01).Conclusion Diabetes were common complication of chronic liver disease, most in cirrhosis patients, circumstance whether serious or not has something to do with liver function hurt, the prognosis of hepatogenic diabetes connect with age, diet ,body quality, alcohol , rationality of medicine, complication and so on, effect will be good under controlling diet, protecting liver function ,treatment with virus medicine and insulin.