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目的分析慢性乙型肝病肝源性糖尿病患者的临床特征,提高其临床治疗水平。方法 40例慢性乙型肝病肝源性糖尿病患者的临床资料作为研究组,并选取同时期14例慢性乙型肝病合并2型糖尿病患者的临床资料作为对照组,对比分析两组患者的临床特征情况。结果研究组患者血清空腹血糖、BMI、TC、TG、白蛋白及PTA比值明显低于对照组;且研究组空腹及餐后2 h的C肽水平和血清胰岛素含量、AST及总胆红素水平明显高于对照组,两组比较差异均具有统计学意义(P<0.05)。结论根据慢性乙型肝病肝源性糖尿病患者的临床特征诊断,有效提高患者临床诊断率。
Objective To analyze the clinical features of patients with chronic hepatitis B due to liver-derived diabetes mellitus and to improve their clinical treatment. Methods The clinical data of 40 patients with chronic hepatitis B with liver-derived diabetes mellitus were selected as the study group. The clinical data of 14 patients with chronic hepatitis B and type 2 diabetes during the same period were selected as the control group. The clinical characteristics of the two groups were compared . Results The serum levels of fasting blood glucose, BMI, TC, TG, albumin and PTA in the study group were significantly lower than those in the control group. The fasting and postprandial 2-h C peptide and serum insulin, AST and total bilirubin Significantly higher than the control group, the difference between the two groups were statistically significant (P <0.05). Conclusion According to the clinical characteristics of patients with chronic hepatitis B due to liver-derived diabetes mellitus, the clinical diagnosis rate is effectively improved.