摘要
目的:探讨无并发急性胰腺炎的糖尿痛酮症酸中毒患者血淀粉酶升高的相关因素。方法:421例糖尿病酮症酸中毒患者,根据诊断标准排除急性胰腺炎,检测血淀粉酶、钠、钾、氯、钙、磷、肌酐、二氧化碳结合力、葡萄糖,次晨空暖腹血脂、肝功能,淀粉酶升高者,每4～8小时复查血淀粉酶。以血淀粉酶为应变量,以血糖等14个自变量进行多元线性回归分析。结果:葡萄糖、血钠、血渗透压、血三酰甘油与血糖显著相关(P<0.05)。结论:糖尿病酮症酸中毒患者血淀粉酶升高的主要原因是脱水、高血糖、高三酰甘油、高血渗透压,高血钠是血淀粉酶升高的加重因素。
Objective：To study the correlationship among factors about the diabetes mellitus ketoacidosis and high hemodiastase without acute pancreatitis. Methods：We selected 421 patients who had suffered from diabetes mellitus ketoacidosis. Without acute pancreatitis according to the diagnostic criteria, serum hemodiastase, natrium, kalium, chlorine, calcium, phosphonium, creatinine,carbon dioxide combining power and blood glucose were measured. The next morning, fatty-acid, liver and renal function in fast were measured. Hemodiastase was repeated every 4 to 8 hours if their hemodiastase were high. We used hemodiastase as the dependent variable and the other 14 factors such as the blood glucose as the independent variable. The muhiple linear regression model was used were associated with hemodiastase. Results：The blood glucose, serum natrium, osmotic pressure and triglyceride all entered the regression equation. Conclusion： High blood glucose, high osmotic pressure, high triglyceride and the dehydration are correlative factors in diabetes mellitus ketoacidosis patients with hyperamylasemia. The serum natrium is an aggravation factor that promotes the hemodiastase.
出处
《中国临床医学》
北大核心
2007年第6期909-910,共2页
Chinese Journal of Clinical Medicine
