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目的 探讨血糖及血清胰岛素水平与急性脑血管病 (ACVD)之间的关系。方法 对连续入院的ACVD患者 ,排除肝肾损害及糖尿病后 ,于入院 2 4h内清晨采空腹静脉血 ,测定血糖及血清胰岛素水平 ,并观察其与ACVD的关系。结果 观察组患者血糖及血清胰岛素水平均较对照组增高 (P <0 .0 5 ) ;脑出血组较脑梗死组增高明显 (P <0 .0 5 ) ;重症脑出血较轻症脑出血胰岛素水平增高明显 (P <0 .0 1)。结论 血糖及血清胰岛素水平增高与ACVD的发病及预后有关 ,其增高的水平与ACVD的程度呈正相关
Objective To investigate the relationship between blood glucose, serum insulin and acute cerebrovascular disease (ACVD). Methods The patients with ACVD who were admitted to hospital consecutively were excluded from liver and kidney damage and diabetes mellitus. The venous blood was collected in the early morning after admission and the blood glucose and serum insulin levels were measured within 24 hours after admission. The relationship between them and ACVD was also observed. Results The levels of blood glucose and serum insulin in the observation group were significantly higher than those in the control group (P <0.05); the levels in the cerebral hemorrhage group were significantly higher than those in the cerebral infarction group (P <0.05); severe intracerebral hemorrhage Significantly increased levels (P <0. 01). Conclusion The increase of blood glucose and serum insulin is related to the onset and prognosis of ACVD. The increased level of ACVD is positively correlated with the degree of ACVD