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目的 探讨急性脑梗死患者血糖水平与临床的关系。方法 根据患者入院时的空腹血糖水平随机分为正常血糖组、高血糖 Ａ 组和高血糖 Ｂ 组，在治疗前、治疗后的第７ 天和第１４ 天，对神经系统缺损进行评分，并观察血糖、年龄、既往病史积分、并发病积分和临床的关系。结果 急性脑梗死患者的血糖水平越高，其并发病和神经系统缺损评分也越高，其临床疗效也越差。结论 高血糖增加急性脑梗死神经系统损伤和并发病，降糖疗法可能会有力地加强急性脑梗死的临床疗效，而积极预防和治疗高血糖是预防脑梗死的有力措施之一。
Objective To investigate the relationship between blood glucose level and clinical features in patients with acute cerebral infarction. Methods According to the fasting blood glucose level at admission, the patients were randomly divided into normal glucose group, hyperglycemia group A and hyperglycemia group B. The nervous system defects were scored before treatment, 7 days and 14 days after treatment, and observed Blood glucose, age, past medical history score, incidence score and clinical relationship. Results The higher the blood glucose level in patients with acute cerebral infarction, its higher incidence of concurrent disease and neurological deficit, the poorer its clinical efficacy. Conclusion Hyperglycemia increases the nervous system injury and the incidence of acute cerebral infarction. Hypoglycemic therapy may enhance the clinical efficacy of acute cerebral infarction. Active prevention and treatment of hyperglycemia is one of the powerful measures to prevent cerebral infarction.