大面积烧伤患者并发应激性血糖增高情况分析(1)
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【摘要】目的：分析大面积烧伤患者应激性血糖增高情况，探讨其影响因素。方法：检测大面积烧伤并发应激性血糖增高患者的血糖值、糖化血红蛋白等，并通过年龄、烧伤面积对应激性高血糖组的影响来分析其影响因素。结果：1、并发应激性高血糖者治愈率低于血糖正常者(P<0.05)。2、并发应激性高血糖者与年龄无明显的相关关系(P>0.05)，但与烧伤面积呈正相关关系(P<0.001)。结论：大面积烧伤并发应激性高血糖者其发病率受烧伤面积影响，与年龄无关。且其预后较血糖正常者差。
【关键词】大面积烧伤；应激性高血糖
The anal ysis of hypergl ycemla ln extensive burn patients wlih stress hyperglycemia
JiXueliang Yi Xianfeng LiangZiqiang LanWei DengJianlin
【Abstract】 Objective: To analysis the situation of hyperglycemia in extensive burn patients with stress hyperglycemia. To find the influencing factors.Methods: We collected the clinic data of 434 extensive burn patients who was treated in the NO.1 hospital of Guangxi medical university from september 2003 to march 2011.We tested HBA1C, blood glucose and OGTT. Furthermore, we asked the history of diabetes, and divided these patients into normal group and complicated stress hyperglycemia group. We compared the cure rate of three groups to analyze the prognosis. Finally , we compared the complication of stress hyperglycemia in patients with different age groups and different incidence of burn area to analyze the complicated stress factor of stress hyperglycemia. Results:1、There was statistically significant difference in the cure rate between the two groups. (P=0.008). 2、Those with stress hyperglycemia was no significant correlation between the age (P> 0.05), but positive correlation between burn size (P <0.001).Conclusion:1、The incidence of stress hyperglycemia is affected by the area of burn, but not age. 2、The prognosis of . extensive burn patients with stress hyperglycemia is worse than those with normal blood suger.
【Keywords】Extensive burn ;stress hyperglycemia
【中图分类号】R331 【文献标识码】B 【文章编号】1005-0515(2011)07-0189-01
大面积烧伤患者常常出现血糖升高，并发应激性高血糖已经得到证实。[1]但是应激性高血糖的发病因素尚未明确。我们通过对2005年9月至2011年3月收治的434例大面积烧伤病人(面积≥30%TBSA ，深度为浅Ⅱ度以上)进行血糖监测和治疗，分析其相关的影响因素，从而得到应激性高血糖的易感因素。
1 资料与方法
1.1 入选病例时限：2005 年9 月至2011 年3 月
1.2 入选病例：434例(男329例，女107例)大面积烧伤病人(首诊)，这些病人烧伤面积≥30%TBSA，深度为浅Ⅱ度以上(不含)，且未被诊断为糖尿病。
1.3 检测仪器：测血糖用Accu-CHEK Active CR2032血糖检测仪或日立7170A全自动生化分析仪，酶法检测。糖化血红蛋白以糖化血红蛋白仪，微柱法离子交换层析检测 ......
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