多发伤；__

多发伤患者严重度与血糖、胰岛素、C肽相关性的临床研究

http://www.100md.com 《创伤外科杂志》 2006年第2期

多发伤；,,血糖；胰岛素；C肽；急性生理和慢性健康评分Ⅱ,临床资料,1一般资料,2方法,3统计学分析,结果,讨论,参考文献：

     摘要：目的了解多发伤患者急性期血糖、胰岛素、C肽的变化及其临床意义。方法在患者入院后第1、3、7天测定血糖、胰岛素、C肽的水平，并观察急性生理和慢性健康评分Ⅱ(APACHEⅡ)及死亡率之间的关系。结果重创组血糖(15.61±2.21)mmol/L、胰岛素(29.47±7.58)mIU/L、C肽(3.19±1.47)ng/ml均高于对照组(P<0.05)，且APACHEⅡ31分以上，死亡率明显增高(36.84%)。结论多发伤急性期血糖、胰岛素、C肽的变化对判断病情严重度有一定意义。

    关键词：血糖；胰岛素；C肽；急性生理和慢性健康评分Ⅱ

    Changes of blood glucose,insulin and cpeptide in acute multipletrauma

    LIU Zhaohui,DUAN Meizhen

    (Department of ICU,Guangdong Provincial Corps Hospital,Chinese People's Armed Police Forces,Guangzhou 510507,China)

    Abstract: Objective To study the changes of the levels of blood glucose,insulin，cpeptide and their siginificance in acute multiple trauma.Methods In the 1,3,7d,the levels of serum,blood glucose,cpeptide were determined,and then compare with APACHE Ⅱ.Results The levels of blood glucose(15.61±2.21)mmol/L,serum insulin(29.47±7.58)mIU/L,cpeptide(3.19±1.47)ng/ml in the severe multiple trauma were significantly higher than those in the control group (P<0.05).The APACHE Ⅱ which was above 31,the morbility were significantly higher that were 36.84%.Conclusion The levels of blood glucose,insulin and cpeptide may serve as an indicator for predicating the severity of traumas. ......

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