摘要
目的分析慢性乙型肝炎患者易患糖尿病的危险因素及治疗后的转归情况，为临床预防及诊治提供参考。方法选择35例慢性乙型肝炎并发肝源性糖尿病患者及随机选取38例无血糖升高的慢性乙型肝炎患者作为对照，进行糖尿病的危险因素分析及观察治疗效果。结果合并脂肪肝和r-GT为慢性乙型肝炎并发肝源性糖尿病的危险因素；经有效治疗所有患者血糖均恢复正常；对照组有14例患者存在糖耐量异常。结论对慢性乙型肝炎患者，应常规检测空腹及餐后血糖，同时注意监测r—GT，预防脂肪肝，以减少发生肝源性糖尿病的可能性。
Objective To investigate the risk factors of chronic hepatitis B complicated by hepatogenous diabetes and the therapeutic effect. Methods 35 patients with chronic hepatitis B complicated by hepatogenous diabetes were selected as an experimental group and 38 patients of chronic hepatitis B without glycemia were selected randomly as control group. An multi-factorial local regression analysis was used. Results Results shown that fatty liver disease and the level of r-GT were the risk factors of chronic hepatitis B complicated by hepatogenous diabetes ;and the level of blood glucose in all cured patients has returned to normal; in control grope the glucose tolerance of 14 patients was extraordinary. Conclusion It is necessary to monitor the level of blood glucose before and after dinner and r-GT, also prevent the fatty liver disease in patients with chronic hepatitis B is important.
出处
《中国临床实用医学》
2010年第9期71-73,共3页
China Clinical Practical Medicine
