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目的:探讨肝硬化并发肝源性糖尿病的临床特点及治疗措施。方法:对60例肝硬化并发肝源性糖尿病患者的资料进行回顾性分析。结果:60例糖尿病患者,发现糖尿病前均患有慢性肝病导致肝硬化病史,无糖尿病家族史。2/3患者糖尿病症状不典型,丙型肝炎肝硬化糖尿病发生率高达24.66%;Child-PughC级患者较Child-PughA、B级患者空腹血糖升高,餐后2 h血糖与空腹血糖差值加大。结论:肝硬化合并肝源性糖尿病患者糖尿病症状不典型,易被漏诊,治疗上以保肝治疗为主,兼顾控制血糖,多数愈后良好。
Objective: To investigate the clinical characteristics and treatment of liver cirrhosis complicated with liver-derived diabetes mellitus. Methods: The data of 60 patients with liver cirrhosis and liver-derived diabetes mellitus were retrospectively analyzed. Results: Sixty patients with diabetes were found to have a history of cirrhosis and no family history of diabetes before chronic diabetes. 2/3 patients had atypical symptoms of diabetes and hepatitis C cirrhosis with high incidence of diabetes was 24.66%; Child-PughC patients than those with Child-PughA, B patients with fasting blood glucose, 2 h postprandial blood glucose and fasting blood glucose difference plus Big. Conclusion: Diabetic patients with cirrhosis and liver-derived diabetes have atypical diabetes symptoms, which are easily missed. The main treatment is hepatoprotective therapy.