危重儿_____]_危重儿；极危重儿；低血糖；高血糖

危重儿的血糖监测及临床分析

http://www.100md.com 《实用医技杂志》 2006年第11期

危重儿,,],危重儿；极危重儿；低血糖；高血糖,[摘要],[关键词],1对象与方法,2结果,3讨论,参考文献：

     [摘要] 目的：分析危重儿血糖与危重程度及预后的关系，评价危重儿血糖监测的临床意义。方法：对50例危重儿(不含极危重儿)、28例极危重儿和30例非危重患儿进行血糖监测，并进行对比观察和分析。结果：危重儿组、极危重儿组血糖异常发生率显著高于非危重儿组；极危重儿组血糖异常发生率显著高于危重儿组。血糖异常以高血糖为主。高血糖越显著，持续时间越长，且难纠正者，预后差。结论：危重病儿高血糖水平与病情的严重程度及预后显著相关，对危重儿应密切监测血糖变化，及早发现和尽快纠正高血糖或低血糖,改善预后。

    [关键词] 危重儿；极危重儿；低血糖；高血糖

    Blood Glucose Monitoring and its Clinical Studyin Criticaldiseased Children

    XIAO Zhen，LIU Dongcheng，ZENG Yunxiang

    (Xiaolan People's Hospital，Zhongshan，Guangdong 528415，China)

    Abstract：Objective To study the relation between the changes of blood glucose and critical situationas well as prognosis,to evaluate the clinical significance of the glucose measurement.Methods To monitor the variety of blood glucose in 50 critical diseased children,28 very critical diseased children and 30 noncritical diseased children,to compare,observe and analysis it.Results The blood glucose abnormity is significantly higher in the critical diseased children and the very critical diseased children comparing to the noncritical diseased children(χ2＝40.80)；the blood glucose abnormity is significantly higher in the very critical diseased children comparing to the critical diseased children(χ2＝27.74).Most blood glucose abnormity was hyperglycemia.Conclusion The blood glucose level of critical diseased children is closely related to the critical situation and its prognosis,blood glucose monitoring should be frequently,hypoglycemia and hyperglycemia should be checked and corrected as early as possible,then prognosis would be better. ......

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