肝硬化与肝源性糖尿病临床关系分析.docVIP

肝硬化与肝源性糖尿病临床关系分析 　　【摘要】 目的：探讨肝硬化与肝源性糖尿病的临床关系。方法：选择42例肝硬化并发糖尿病患者作为观察组，选择同期40例肝硬化未并发糖尿病患者作为对照组。对比分析两组患者临床表现，肝硬化患者肝功能分级，肝硬化糖尿病患者治疗前后空腹血糖、TB、ALT及并发症发生情况。结果：观察组多饮、多食、多尿及纳差患者均显著多于对照组，且差异均有统计学意义（P0.05）；A级以对照组居多，而B级以观察组多见；观察组患者经治疗1个月空腹血糖、TB、ALT显著低于治疗前，且差异均有统计学意义（P0.05）；观察组并发肝性脑病、肝肾综合征、自发性腹膜炎患者显著多于对照组，且差异均有统计学意义（P0.05）。结论：肝硬化与肝源性糖尿病关系密切，肝硬化并发糖尿病患者临床表现较为复杂，采取积极有效地治疗原发肝病与严格控制血糖尤为重要，可降低并发症发生，具有重要意义。 　　【关键词】 肝硬化； 肝源性糖尿病； 关系 　　中图分类号 R657.3 文献标识码 B 文章编号 1674-6805（2015）4-0023-03 　　Clinical Analysis of the Relationship between Cirrhosis and Hepatic Diabetes/LI Hong-chang，CHEN Li-hong，LIAO Hao-feng.//Chinese and Foreign Medical Research，2015，13（4）：23-25 　　【Abstract】 Objective：To investigate the relationship between cirrhosis and hepatic diabetes.Method：42 cases of liver cirrhosis complicated by diabetes as the observation group，the same period 40 cases of cirrhosis without diabetes mellitus as the control group.The clinical manifestations of the two groups，liver function in cirrhotic patients before and after treatment in diabetic patients with cirrhosis fasting glucose，TB，ALT and occurrence of complications were compared and analyzed.Result：The polydipsia，polyphagia，polyuria and anorexia of the observation group were significantly more than those of the control group，and there were significant differences（P0.05）.The blood sugar level to normal in the majority，while the Class B with hepatic diabetes common.cirrhotic patients with diabetes treated a month of fasting blood glucose，TB，ALT were significantly lower than before treatment，and there were statistically significant differences（P0.05）.Hepatic encephalopathy，hepatorenal syndrome，spontaneous bacterial peritonitis of the observation group were significantly more than those of the control group，and there were statistically significant differences（P0.05）.Conclusion：Cirrhosis and hepatic diabetes is closely related to liver cirrhosis clinical manifestations in diabetic patients is more complex，takes active and effective in t