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目的:了解肾综合征出血热(HFRS)患者血糖的动态变化及临床意义。方法:采用美国ABBDTT VPSUPER SYSTEM生化自动分析仪检测HFRS 213例不同病期的血糖水平。结果:HFRS患者血糖升高率达69.01%,血糖水平自发热期即开始增高,至低血压期达高峰(P<0.01),持续至恢复期仍未完全恢复正常(P<0.01)。血糖升高与病情轻重、预后均有关,重、危重型患者血糖值高于轻、中型患者(P<0.01)。血糖升高者的死亡率高于血糖正常的患者(P<0.05)。结论:动态检测血糖的变化有助于判断机体器官的恢复情况,了解病情轻重及判断预后。
Objective: To understand the dynamic changes of blood glucose in patients with hemorrhagic fever with renal syndrome (HFRS) and its clinical significance. Methods: The blood glucose level of 213 cases of HFRS at different stages of HFRS was detected by American ABBDTT VPSUPER SYSTEM biochemical analyzer. Results: The rate of increase of blood glucose in HFRS patients was 69.01%. The level of blood glucose increased from the onset of fever to the peak of hypotension (P <0.01), and continued to return to normal before recovery (P <0.01). Elevated blood glucose and severity of the disease, the prognosis are related to severe, critically ill patients with higher blood glucose than in patients with mild to moderate (P <0.01). Mortality in those with elevated blood glucose was higher than in patients with normal glucose (P <0.05). Conclusion: The dynamic changes of blood glucose can help to judge the recovery of body organs, understand the severity and prognosis.