急性胰腺炎后胰腺内分泌变化临床研究
Chinese Journal of Surgery of Integrated Traditional and Western Medicine(2017)
Abstract
目的:观察研究急性胰腺炎后胰腺内分泌变化.方法:选取既往无糖尿病病史的急性胰腺炎住院患者60例为急性胰腺炎组,既往无糖尿病病史正常体检者30人为对照组.测定入院时、入院次日晨空腹、入院后第3d晨空腹、入院后第7d晨空腹血糖、胰岛素和C肽,比较两组结果.结果:急性胰腺炎组血糖在入院时[(7.2±1.4)mmol/L]、24h[(7.3±2.3)mmol/L]、3 d[(9.4±1.6) mmol/L]较对照组[(4.3±1.8)mmol/L]升高,具有统计学意义,入院后7d血糖[(4.5±1.2)mmol/L]较对照组无明显升高.急性胰腺炎组血清胰岛素在入院后24 h[(10.0±3.0)μIU/mL]、3 d[(9.5±2.6)μIU/mL]较对照组[(11.4±0.6)μIU/mL]降低,具有统计学意义(P<0.05),入院时[(11.8±2.7)μIU/mL]及入院后7d[(11.9±2.7)μIU/mL]血清胰岛素较对照组无明显变化.急性胰腺炎组血清C肽在入院后24 h[(1.3±0.6) ng/mL]、3d[(1.3±0.3) ng/mL]较对照组[(1.5±0.5) ng/mL]降低,入院时[(1.4±0.3) ng/mL]及入院后7d[(1.5±0.3)ng/mL]血清C肽较对照组无明显变化.急性胰腺炎组血糖值随着发病时间延长呈现先升后降趋势,发病后7d血糖基本恢复.血清胰岛素及C肽值则呈现先降后升趋势.结论:急性胰腺炎患者随着病情发展血糖先升后降,胰岛素及C肽先降后升,提示急性胰腺炎患者胰腺内分泌功能失调.
MoreTranslated text
Key words
Acute pancreatitis,pancreatic endocrine,endocrine function
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined