1726例住院患者糖代谢情况回顾性分析

发布时间：2018-11-03 08:54

【摘要】：目的分析不同科室住院患者的血糖水平及相关资料,为院内血糖规范化管理提供依据。方法回顾性分析2014年11月我院9个科室1 726例出院患者资料,包括入院时血糖、各项代谢指标、住院天数及住院费用等,分析血糖异常情况及相关影响因素。结果有99.19%(1 712/1 726)的患者在住院期间至少检测过一次血糖。依据患者既往史、入院时或住院期间血糖检查结果,血糖异常者占42.76%(738/1 726);除内分泌科(73.79%,76/103)外,老年病科(54.17%,13/24)和胰腺外科(50.54%,93/184)血糖异常患者较多。新发血糖异常者393例,占分析患者的22.77%,其住院时间及住院费用等均高于既往确诊糖尿病及糖调节受损(IGR)与血糖正常患者(P0.01)。既往确诊糖尿病及IGR患者血三酰甘油(TG)及血尿素(BUN)水平均高于血糖正常及新发血糖异常患者(P0.05,P0.01);既往确诊糖尿病及IGR与新发血糖异常患者血高密度脂蛋白胆固醇(HDL-C)水平均低于血糖正常患者(P0.01),但既往确诊糖尿病及IGR与新发血糖异常患者间差异无统计学意义。结论住院期间新发高血糖不容忽视,应加强对高危人群入院及住院期间的血糖监测,并规范高血糖的院内管理。
[Abstract]:Objective to analyze the blood glucose level and related data of inpatients in different departments, and to provide basis for standardized blood glucose management in hospital. Methods the data of 1 726 discharged patients from 9 departments of our hospital in November 2014 were analyzed retrospectively, including blood glucose, metabolic indexes, hospitalization days and hospitalization expenses. The abnormal blood glucose and related influencing factors were analyzed. Results 99.19% (1,712 / 1,726) of the patients tested blood sugar at least once during hospitalization. According to the past history of the patients, blood glucose was abnormal in 42.76% (738 / 1,726) of the patients at admission or during hospitalization. With the exception of Endocrinology (73.79 / 76 / 103), the geriatrics (54.17 / 24) and pancreatic surgery (50.54 / 93 / 184) had abnormal blood glucose. 393 cases of newly diagnosed abnormal blood glucose accounted for 22.777.The hospitalization time and hospitalization cost were higher than those of patients with diabetes mellitus, impaired glucose regulation (IGR) and normal blood glucose (P0.01). The levels of triglyceride (TG) and blood urea (BUN) in patients with diabetes mellitus and IGR were higher than those in patients with normal blood glucose and abnormal blood glucose (P0.05, P0.01). The levels of serum high density lipoprotein cholesterol (HDL-C) in patients with diabetes mellitus, IGR and newly developed abnormal blood glucose were lower than those in patients with normal blood glucose (P0.01). However, there was no significant difference between previously diagnosed diabetes mellitus and IGR and newly developed abnormal blood glucose. Conclusion the newly developed hyperglycemia during hospitalization should not be ignored. The monitoring of blood glucose during admission and hospitalization of high risk population should be strengthened and the hospital management of hyperglycemia should be standardized.
【作者单位】：第二军医大学长海医院内分泌科;第二军医大学长海医院医教部;
【基金】：国家自然科学基金(81471038) 中华医学会专项基金(13061080493)~~
【分类号】：R587.1

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