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目的了解糖化血红蛋白(HbA1 c)的与糖尿病患者血糖水平、糖尿病并发症的发生以及院内感染的关系。方法 143例2型糖尿病患者按HbA1 c水平分为3组,分别检测血压和血糖、糖化血红蛋白等,同时对有无糖尿病并发症和院内感染进行评价。结果随HbA1 c水平升高糖尿病并发症的发生率和院内感染率随之升高,共58例糖尿病患者发生院内感染,感染率为40.56%,且各组感染均以肺部感染、泌尿系感染和皮肤感染为主。结论检测血液中糖化血红蛋白对2型糖尿病患者诊治具有指导意义。
Objective To investigate the relationship between glycosylated hemoglobin (HbA1 c) and the blood sugar level of diabetic patients, the incidence of diabetic complications and nosocomial infections. Methods A total of 143 patients with type 2 diabetes were divided into 3 groups according to the HbA1c level. Blood pressure, blood glucose and HbA1c were detected respectively, and the complications of diabetes and nosocomial infection were evaluated. Results As the level of HbA1c increased, the incidence of diabetic complications and nosocomial infection increased. A total of 58 cases of nosocomial infections were found in diabetic patients with an infection rate of 40.56%. All the cases were infected with pulmonary and urinary tract infections And skin infections. Conclusion Detection of HbA1c in blood is instructive for the diagnosis and treatment of type 2 diabetes mellitus.