【摘要】 目的探讨急性胰腺炎患者血糖、血清胰岛素、C肽的水平变化。方法选择急性胰腺炎患者98例为研究对象,根据患者的严重程度分为轻型组、重症Ⅰ级组和重症Ⅱ级组,并选择健康体检者30例为对照组。测量急性胰腺炎患者不同时间点以及健康对照组血糖水平、血清胰岛素以及C肽水平。结果入院时三组血糖水平显著高于对照组,胰岛素和C肽水平也显著高于对照组(P<0.01)。急性胰腺炎患者中,重症Ⅱ级的血糖、胰岛素、C肽水平最高(P<0.01)。急性胰腺炎患者胰岛素和C肽水平均显著下降,而重症患者显著低于正常对照组(P<0.01)。结论胰腺炎患者血糖显著升高,并且病情越重则血糖升高越明显。发病后6 h内,患胰岛素和C肽水平都会升高,发病后次日,胰岛素水平和C肽下降,并且病情越重则下降越明显。更多还原

【Abstract】 Objective To discuss significance of level change of blood sugar, serum insulin and peptide C in acute pancreatitis. Methods Selected 98 cases with acute pancreatitis were divided into mild group, severe Ⅰ group and severe Ⅱgroup according to severity. Thirty healthy controls were selected as control group. Blood sugar, serum insulin and peptide C were detected. Results On admission, levels of blood sugar, serum insulin and peptide C in mild group,severe Ⅰ group and severe Ⅱgroup were higher than control group(P<0.01). Levels of blood sugar, serum insulin and peptide C in severe Ⅱgroup were higherst(P<0.01). Then, Levels of blood sugar, serum insulin and peptide C in three groups decreased, and that of severe groups were apparently lower than control group(P<0.01). Conclusion Blood sugar level increases in acute pancreatitis, and the more of severity, the higher of the level. In 6h after attack, serum insulin and peptide C increase, and then decrease next day of attack. The more of severity, the more of decrease are.更多还原