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目的:分析与研究血糖升高对慢性阻塞性肺病急性加重期近期预后的造成的影响。方法:将75例AECOPD患者根据血糖水平分为血糖升高组(30例)和血糖正常组(45例)。对2组患者痰培养阳性率、病死率及住院时间等进行比较。结果:2组痰菌培养阳性率存在显著差异(P<0.05)。血糖升高组住院时间为(18.7±2.1)d,病死率为13.3%(4/30);血糖正常组住院时间及病死率分别为(12.2±2.0)d及4.4%(2/45),2组比较差异均有统计学意义(均P<0.01)。结论:高血糖水平会对AECOPD患者的预后产生不利影响。只有对AECOPD患者新发的高血糖水平进行严格控制,才能确保患者的预后。
Objective: To analyze and study the effect of hyperglycemia on the short-term prognosis of patients with acute exacerbation of chronic obstructive pulmonary disease. Methods: Seventy-five patients with AECOPD were divided into hyperglycemia group (n = 30) and normal glucose group (n = 45) according to their blood glucose levels. The sputum culture positive rate, case fatality rate and hospitalization time of two groups of patients were compared. Results: The positive rates of sputum culture in two groups were significantly different (P <0.05). The duration of hospital stay and mortality in the patients with normal blood glucose were (12.2 ± 2.0) days and 4.4% (2/45), respectively. The mean duration of hospitalization was (18.7 ± 2.1) days and the mortality rate was 13.3% (4/30) The differences between the two groups were statistically significant (both P <0.01). Conclusion: Hyperglycemia may adversely affect the prognosis of AECOPD patients. Only in patients with AECOPD new high blood sugar levels are strictly controlled, in order to ensure the prognosis of patients.