首页|糖尿病酮症酸中毒转诊患儿出院时血糖水平的影响因素分析

糖尿病酮症酸中毒转诊患儿出院时血糖水平的影响因素分析

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目的 分析糖尿病酮症酸中毒(DKA)转诊患儿出院时血糖水平的影响因素。方法 以河南省儿童医院2014年至 2022 年住院的124 例DKA患儿为研究对象。根据糖尿病的诊断标准进行分组,满足出院时空腹血糖<7。0 mmol/L为出院时血糖正常组(n=93),满足出院时空腹血糖≥7。0 mmol/L为出院时血糖异常组(n=31)。分别从住院病历中提取患儿的人口学资料、临床症状和实验室检查指标并进行比较;采用Logistic回归模型分析人口学资料、临床症状和实验室检查指标与出院时血糖值是否正常的相关性。结果 患儿家庭有稳定收入与出院时血糖值异常呈负相关(P<0。05)。有深大或叹气样呼吸、有感染症状、症状数量与出院时血糖值异常呈正相关(P<0。05)。结论 有感染症状及临床症状较多的DKA患儿出院时血糖异常的风险增大,家庭有稳定收入的DKA患儿出院时血糖异常的风险减小。
Analysis of influencing factors of blood glucose level in children with diabetic ketoacidosis at discharge
Objective To analyze the influencing factors of blood glucose level in children with diabetic ketoacidosis(DKA)at discharge.Methods A total of 124 children with DKA who were hospitalized in Henan Children's Hospital from 2014 to 2022 were selected as study objects.According to the diagnostic criteria of diabetes,the children were divided into normal blood glucose group(n=93)and abnormal blood glucose group(n=31).The normal blood glucose group was defined as fasting blood glucose<7.0 mmol/L at discharge,and the abnormal blood glucose group was defined as fasting blood glucose≥7.0 mmol/L at discharge.The demographic data,clinical symptoms and laboratory examination indexes of the children were extracted from the inpatient medical records and compared.Logistic regression model was used to analyze the correlation between demographic data,clinical symptoms and laboratory examination indexes and whether the blood glucose value was normal at discharge.Results There was a negative correlation between the stable income of the family and the abnormal blood glucose value at discharge(P<0.05).Deep or sigh-like breathing,infection symptoms,and the number of symptoms were positively correlated with abnormal blood glucose levels at discharge(P<0.05).Conclusion Children with DKA with infection symptoms and more clinical symptoms have an increased risk of abnormal blood glucose at discharge,while Children with stable family income have a reduced risk of abnormal blood glucose at discharge.

diabetic ketoacidosisblood glucosepre-hospital emergency referral

祝轲、成怡冰、林莉

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郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院急诊科,河南 郑州,450000

糖尿病酮症酸中毒 血糖 院前急救转诊

2022年河南省医学科技攻关联合共建项目

LHGJ20220722

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(4)
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