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慢性肝病患者并发糖尿病在临床上并不少见,笔者多年临症观察发现,部分慢性肝病患者血糖升高的比例明显高于正常人群,与单纯糖尿病相比又有自身的特点,现报道如下。 1 临床资料 我们从1986年6月～1996年6月10年间的住院病人中选取了3200例慢性肝病患者(包括慢性肝炎与肝硬变)。所有病例的诊断均符合1995年全国传染病与寄生虫病会议修订的诊断标准。糖尿病的诊断采用1982年全国糖尿病会议制定的标准。其中慢性乙型肝炎患者1938例、慢性丙型肝炎患者293例,肝炎后肝硬变患者969例。3200例患者中男298例、女213例、年龄在26～72岁,平均45.6岁,病程18个月～23年,平均5.7年。
Chronic liver disease patients with diabetes mellitus is not uncommon in clinical practice, the author for many years Pro clinical observation found that some patients with chronic liver disease was significantly higher than the proportion of patients with normal blood glucose, compared with simple diabetes have their own characteristics, are reported below. CLINICAL DATA We selected 3200 patients with chronic liver disease (including chronic hepatitis and cirrhosis) from inpatients between June 1986 and June 1996 for 10 years. All cases were diagnosed in line with the 1995 National Infectious Diseases and Parasitic Diseases meeting revised diagnostic criteria. The diagnosis of diabetes using the 1982 National Diabetes Conference set the standard. 1938 cases of chronic hepatitis B, 293 cases of chronic hepatitis C and 969 cases of posthepatitis cirrhosis. Among 3200 patients, 298 were males and 213 were females with an average age of 45.6 years (range, 26-72 years). The course of disease ranged from 18 months to 23 years with an average of 5.7 years.