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SARS治疗中激素应用与糖代谢障碍
引用本文:续大田,王立,吴晓光.SARS治疗中激素应用与糖代谢障碍[J].首都医学院学报,2003,24(4):451-452.
作者姓名:续大田  王立  吴晓光
作者单位:首都医科大学宣武医院 (续大田,王立),首都医科大学宣武医院(吴晓光)
摘    要:为分析激素治疗对严重急性呼吸综合征(SARS)患者糖代谢障碍的影响,对220例SARS患者中51例高血糖患者进行回顾性分析。高血糖患者年龄18~86岁,平均(52.35±16.64)岁,男24例(47.1%),女27例(52.9%)。其中有糖尿病史10例(19.6%),无糖尿病史41例(80.4%)。所有病人均给予胰岛素治疗,比较治疗前后血糖的变化。发现随着激素用量的增加血糖升高病人增加(P<0.01)。提示使用激素治疗SARS有可能引起高血糖,此时应使用胰岛素治疗。

关 键 词:严重急性呼吸综合征(SARS)  激素  高血糖
收稿时间:2003-07-23
修稿时间:2003年7月23日

Hormone Utilization and Glucose Metabolism Disturbance in SARS Treatment
Xu Datian,Wang Li,Wu Xiaoguang Xuanwu Hospital,Capital University of Medical Sciences.Hormone Utilization and Glucose Metabolism Disturbance in SARS Treatment[J].Journal of Capital University of Medical Sciences,2003,24(4):451-452.
Authors:Xu Datian  Wang Li  Wu Xiaoguang Xuanwu Hospital  Capital University of Medical Sciences
Institution:Xuanwu Hospital, Capital University of Medical Sciences
Abstract:The objective was to analyze the effect of hormone utilization on glucose metabolism in the patients with severe acute respiratory syndrome(SARS).Among all 220 patients,51patients with hyperglycemia was retrospectively analyzed.10(19.6%)of them with diabetes mellitus(DM),41(80.4%)without DM.The age of patients with hyperglycemia was 18~86 years old(52.35±16.64).There were male 24(47.1%),and female27(52.9%).All the patients were treated with insulin,and the glucose levels was compared before and after utilization of hormones.The number of patients complicated with hyperglycemia increased with the increase of hormone dosage(χ2 =20.95,P<0.01).Conclusion:Hyperglycemia should be treated with hormone in the treatment on SARSpatients.
Keywords:severe acute respiratory syndrome(SARS)  hormone  hyperglycemia
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