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为探讨应激性高血糖对危重病患儿的影响,我院ICU 1995年1月～1996年12月对255例急性病患儿进行了血糖监测。结果血糖>6.67 mmol/L者107例(占41.96％);高血糖与器官功能障碍关系密切,一个和三个器官功能衰竭时血糖分别为8.89±3.03 mmol/L和13.20+4.45mmol/L(P<0.01),两个和四个器官功能衰竭时血糖分别为10.63±4.82mmol/L和16.80±10.46mmol/L(P<0.05),血糖越高其预后越差,血糖<10 mmol/L时病死率6.25％,10～15mmol/L时11.54％,>15mmol/L时达41.8％,且死亡组14例血糖值达17.35±11.23mmol/L,说明血糖>15mmol/L时提示病情凶险和预后不良。本组15例并发应激性溃疡,其血糖值为14.20±10.19mmol/L,与治愈无溃疡组比较差异显著(P<0.01);另外,重症肺炎组血糖值10.61±4.32mmol/L,颅内疾病组为11.09±7.06mmol/L(P>0.05),说明应激性高血糖与原发病关系不密切。
To investigate the impact of stress hyperglycemia on children with critical illness, our hospital ICU from January 1995 to December 1996 on 255 cases of acute illness in children with blood glucose monitoring. Results Blood glucose> 6.67 mmol / L was found in 107 patients (41.96%). Hyperglycemia was closely related to organ dysfunction. The blood glucose of one and three organ failure were 8.89 ± 3.03 mmol / L and 13.20 + 4.45 mmol / L respectively P <0.01). The blood glucose of two and four organ failure cases were 10.63 ± 4.82mmol / L and 16.80 ± 10.46mmol / L (P <0.05) respectively. The higher the blood glucose, the worse the prognosis, the lower the blood glucose <10mmol / L The mortality was 6.25%, 11.54% at 10-15mmol / L, 41.8% at> 15mmol / L, and 14.3% ± 11.23mmol / L in the death group, indicating that the blood glucose> 15mmol / L, Poor prognosis. In this group of 15 patients with concurrent stress ulcer, the blood glucose level was 14.20 ± 10.19mmol / L, which was significantly different from that of the non-ulcer group (P <0.01). In addition, the blood glucose of severe pneumonia group was 10.61 ± 4.32mmol / L, Internal disease group was 11.09 ± 7.06mmol / L (P> 0.05), indicating that the relationship between stress hyperglycemia and the primary disease is not close.