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目的通过分析研究肝病伴糖代谢异常患者的治疗效果,总结出最佳临床治疗方法,以此来提高疗效。方法选取自2009年6月至2011年8月入住本院治疗的慢性肝病患者400例,采取肝病伴糖代谢异常诊断标准选取100例患者,回顾临床资料进行调查研究。结果 400例患者中,肝硬化280例,慢性乙型肝炎120例;52例肝硬化伴肝源性DM,占18.6%,43例肝硬化伴肝源性LGT,占15.4%,3例慢性乙型肝炎伴肝源性DM,占2.5%,2例慢性乙型肝炎伴肝源性LGT,占1.7%。治疗后,5例慢性乙型肝炎伴糖代谢异常患者肝功能基本恢复,95例肝硬化伴糖代谢异常患者,84例患者肝功无显著变化,11例因并发症而发生死亡。结论临床上采用纠正血糖水平等方法对原发性肝病进行治疗,同时也要对诊断出的肝源性糖代谢异常患者进行及时治疗,以此促进原发性肝病的治疗与恢复,对提高临床治疗水平与患者生命质量有很大帮助。
Objective To analyze the therapeutic effect of liver disease patients with abnormal glucose metabolism and to summarize the best clinical treatment in order to improve the curative effect. Methods 400 cases of chronic liver disease admitted to our hospital from June 2009 to August 2011 were selected. 100 patients were selected according to diagnostic criteria of liver disease with abnormal glucose metabolism, and the clinical data were retrospectively investigated. Results Among the 400 patients, 280 cases were cirrhosis and 120 cases were chronic hepatitis B. 52 cases of liver cirrhosis with liver-derived DM accounted for 18.6%, 43 cases of liver cirrhosis with liver-derived LGT accounted for 15.4% and 3 cases of chronic hepatitis B Hepatitis type with liver-derived DM, accounting for 2.5%, 2 cases of chronic hepatitis B with liver-derived LGT, accounting for 1.7%. After treatment, 5 cases of chronic hepatitis B patients with abnormal glucose metabolism recovered, 95 cases of liver cirrhosis with abnormal glucose metabolism, 84 patients had no significant change in liver function, 11 patients died of complications. Conclusions The methods of correcting blood sugar level and so on are used clinically to treat primary hepatic diseases. At the same time, the diagnosed patients with abnormal liver glycometabolism should be treated promptly so as to promote the treatment and recovery of primary hepatic diseases, The level of treatment and quality of life of patients is very helpful.