摘要
目的:通过监测全身炎症反应综合征(SIRS)患者血糖水平观察应激性高血糖(SHG)的发生率及多器官功能障碍综合征(MODS)发生情况。方法:我院收治的81例非糖尿病SIRS,按SIRS诊断标准将其分为SIRS 2组19例,SIRS 3组28例,SIRS 4组34例。81例按入院时血糖水平分为A、B、C 3组,A组35例,B组27例,C组19例,观察MODS发生情况。结果:81例中46例发生SHG,SIRS 2组、SIRS 3组、SIRS 4组的发生率分别为21.05%、53.57%、79.41%,3组间两两比较差异均有统计学意义(P<0.05)。SIRS病情越重胰岛素用量越大,81例应用胰岛素3～9天,用量为30～70 U/d;A、B、C 3组的病死率分别为14.29%、37.07%、78.95%,组间两两比较差异均有统计学意义(P<0.05)。血糖越高MODS的程度越严重。结论:在原发病基础上SIRS者SHG发生率越高,血糖越高器官功能不全或衰竭的脏器越多,病死率越高。
Objective：To.observe the occurrences of SHG blood sugar level of SIR patients and insulin therapy in systemic inflammatory response syndrome patients. Methods：81 Severe undiagnosed diabetes patients were included in the study in ICU of our hospital and according to SIRS criteria were divided into group SIRS 2,n = 19,group SIRS 3 ,n = 28 and group SIRS 4,n = 34. The blood sugar level and insulin therapy were summarized. According to blood sugar level at admission,they were divided into group A, B and C, group A, n = 35, group B, n = 27, group C, n = 19. The occurrence of MODS was observed. Results： Of the 81 SIRS patients, stress hyperglycemic occurred in 46 the patients with. The rates were respectively SIRS 2 （21.05%）, SIRS 3 （53.57%）, SIRS 4 （79.41%） respectively with statistical significance （P 〈 0.05 ）. The more severe SIRS was, the larger dose of insulin was needed. Of the 81 patients,the average time of administration of insulin was 3 -9 d with a dose of 30 -70 U/d;and the mortality rates of the three groups were 14.29% ,37.07% and 78. 95% with statistical significance （P 〈0.05）. Conclusion：High rates of SHG in SIRS patients may cause severe dysfunction and failures of organs with worse prognosis and higher mortality rates.
出处
《临床误诊误治》
2009年第2期10-11,共2页
Clinical Misdiagnosis & Mistherapy
