不同Child?Pugh分级血吸虫性肝硬化并发糖代谢异常的临床观察

中国血吸虫病防治杂志 ›› 2013, Vol. 25 ›› Issue (5): 553-.

不同Child?Pugh分级血吸虫性肝硬化并发糖代谢异常的临床观察

张军

湖北省荆州市第三人民医院（荆州 434000）

出版日期:2013-10-28 发布日期:2013-10-29

Clinical observation on abnormal glucose metabolism of cirrhosis of different classified Child-Pugh in schistosomiasis patients

ZHANG Jun

Third People’ Hospital of Jingzhou City|Hubei Province| Jingzhou 434000| China

Online:2013-10-28 Published:2013-10-29

摘要/Abstract

摘要： 目的目的分析不同Child?Pugh分级血吸虫性肝硬化患者并发糖代谢异常情况。方法方法观察90例不同Child?Pugh分级血吸虫性肝硬化患者空腹血糖（FBG）、餐后2 h血糖（2hBG）、餐后3 h血糖（3hBG）、血清口服胰岛素（FINS）、胰岛素释放指数（IRI）、胰岛素抵抗指数（IRS）变化。结果结果 90例血吸虫性肝硬化患者随着Child?Pugh分级增加，糖代谢异常逐渐加重，但大多患者（83.1%） FBG正常或轻度升高。7例肝源性糖尿病患者中，仅1例为女性。结论结论血吸虫性肝硬化并发糖代谢异常的比例较低，且以男性发病为主。

关键词: 血吸虫性肝硬化； Child?Pugh分级；糖代谢异常

Abstract: Objective To study the abnormal glucose metabolism of cirrhosis of different classified Child?Pugh in schistoso? miasis patients. Methods A total of 90 schistosomiasis patients with different classified Child?Pugh cirrhosis were investigated for their fasting blood glucose（FBG），2?hour blood glucose（2hBG），3?hour blood glucose（3hBG），free insulin（FINS），insulin release index（IRI）and insulin resistance index（IRI） . Results With the increasing of classified Child?Pugh，the abnormal glu? cose metabolism of the 90 schistosome cirrhosis patients aggravates，but most of FBS was normal or increases slightly. There was only one female patient in 7 patients with diabetes mellitus of liver. Conclusion The ratio of abnormal glucose metabolism of schistosomiasis cirrhosis patients is less，and most of them are younger males.

Key words: Schistosomiasis cirrhosis； Child?Pugh classification； Abnormal glucose metabolism

中图分类号:

R52.21

张军. 不同Child?Pugh分级血吸虫性肝硬化并发糖代谢异常的临床观察[J]. 中国血吸虫病防治杂志, 2013, 25(5): 553-.

ZHANG Jun. Clinical observation on abnormal glucose metabolism of cirrhosis of different classified Child-Pugh in schistosomiasis patients[J]. Chin J Schisto Control, 2013, 25(5): 553-.