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目的 :研究急性脑出血患者血糖水平与其意识障碍及预后的关系。方法 :对 44例高血糖组患者和 2 1例正常血糖组患者血糖水平与神经功能缺损评分、意识状况及近期预后进行分析。结果 :高血糖者神经功能缺损评分、昏迷发生率及病死率明显高于正常血糖者 ;高血糖组患者血糖升高与神经功能缺损评分呈正相关。结论 :高血糖可加重急性脑血脑组织损伤 ,加重病情 ,使康复过程延缓。血糖的变化对判断病情、预后及指导治疗有重要意义。
Objective: To study the relationship between blood glucose level and its impaired consciousness and prognosis in patients with acute cerebral hemorrhage. Methods: The blood glucose level, neurological deficit score, consciousness status and immediate prognosis in 44 hyperglycemia patients and 21 normal glucose patients were analyzed. Results: The scores of neurological deficits, coma and mortality in patients with hyperglycemia were significantly higher than those in patients with normal blood glucose. There was a positive correlation between hyperglycemia and the score of neurological deficits. Conclusion: Hyperglycemia can aggravate acute cerebral blood brain injury and aggravate the disease and delay the recovery process. Blood glucose changes to determine the condition, prognosis and guiding treatment of great significance.