目的 探討熱性驚厥患兒血清電解質和血糖的變化及其臨床意義。 方法 選取2009 年6月－2010 年12月兒科住院的呼吸道感染并發熱性驚厥患兒38例和呼吸道感染無驚厥患兒42例，分別作為觀察組和對照組，測定和比較兩組患兒血清電解質和血糖值。 結果 觀察組血清鈉離子濃度為（133.05 ± 1.74）mmol/L、氯離子濃度為（100.37 ± 1.79）mmol/L；對照組血清鈉離子濃度為（142.19 ± 1.85）mmol/L、氯離子濃度為（104.57 ± 1.55）mmol/L，差異均有統計學意義（P＜0.01）；觀察組和對照組血糖濃度依次為（6.93 ± 0.87）、（5.12 ± 0.55）mmol/L，差異有統計學意義（P＜0.01）。觀察組在治療后的血清鈉離子、氯離子濃度分別為（140.89 ± 2.68）、（103.29 ± 1.94）mmol/L，均高于發生驚厥時的濃度（P＜0.01）；觀察組在治療后的血糖濃度為（5.31 ± 0.68）mmol/L，明顯低于發生驚厥時，差異有統計學意義（P＜0.01）。 結論 嬰幼兒發生熱性驚厥時存在血鈉、血氯水平降低和血糖升高，在熱性驚厥患兒的治療中應糾正血鈉水平和高血糖。Objective To explore the clinical significance of the changes in serum electrolytes and blood glucose in the children with febrile convulsion. Methods Thirty-eight children with respiratory infection combined with febrile convulsion and 42 children with single respiratory infection diagnosed between June 2009 and December 2010 were selected as the observation group and control group, respectively. Serum electrolytes and blood glucose concentration were assayed and compared between the two groups. Results The concentrations of serum sodium and chloride were (133.05 ± 1.74) mmol/L and (100.37 ± 1.79) mmol/L in the observation group, while (142.19 ± 1.85) and (104.57 ± 1.55) mmol/L in the control group; the differences between the two groups were significant (Plt;0.01). The concentrations of blood glucose were (6.93 ± 0.87) mmol/L in the observation group and (5.12 ± 0.55)mmol/L in the control group; the difference was significant (Plt;0.01). After the treatment, the serum concentrations of sodium and chloride were (140.89 ± 2.68) and (103.29 ± 1.94)mmol/L in the observation group, which were higher than those before treatment (Plt;0.01). After treatment, the blood glucose concentration was (5.31 ± 0.68）mmol/L in the observation group, which was lower than that before the treatment (Plt;0.01). Conclusion Hyponatremia, low serum chlorine and hyperglycemia occurre in the febrile convulsion in children, which should be corrected in the treatment of febrile convulsion.
摘要:目的：探討低血糖指數膳食干預對2 型糖尿病病人營養治療效果的影響。方法：選擇住院2 型糖尿病病人109例,隨機分為營養組56例和對照組53例。營養組由營養師根據患者情況提供低血糖指數營養治療飲食,對照組則自行控制飲食。分別于住院第1天與3個月復查時對兩組患者進行膳食調查及相關生化指標測定, 以觀察營養治療的效果。結果:采用干預措施后, 兩組空腹血糖、餐后2 h血糖、糖化血紅蛋白、血清膽固醇、甘油三酯等生化指標均降低, 但營養組與對照組相比效果更為明顯(P＜005)；營養組的飲食結構更為合理。結論：低血糖指數膳食可有效控制2 型糖尿病病人的血糖、血脂水平,對促進患者康復有積極意義。Abstract: Objective: To observed the effect of nutrition therapy of low glycemic index foods on type 2 diabetic patients. Methods: A total of 109 subjects with the hospitalized diabetes were randomly allocated into two groups: The nutrition group(56 cases) were provided with weighed individual low glycemic index foods and the control group(53 cases) went on diet dominated by themselves. patients in both groups were investigated on meals, diabetic nutrition knowledge and were detected for correlative biochemical indices. Results：After the nutrition treatment, patients biochemical indices of fasting bloodglucose, blood sugar 2 hours after meal, hemoglobin of glycosylation, cholesterol and triglyceride in serum in both groups were significantly lower. Compared with the control group, the effect of the nutrition group was even better. The acknowledgement rate of nutrition knowledge on diabetes of the nutrition group improved significantly, and their meals were more scientifically arranged. Conclusion: The nutrition therapy of low glycemic index foods would be very helpful for type 2 diabetic patients to control their bloodsugar level and improve the nutritional state and outcome.
