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目的探讨影响低血糖脑病预后的因素。方法根据标准将2011年1月~2014年9月收治的86例低血糖脑病患者纳入研究,经神经功能缺损评分(NIHSS)、静脉注射推60 mL50%高渗糖、血糖检测及其他必要治疗后观察患者的预后,分析影响患者预后的因素。结果对低血糖脑病预后相关的影响因素进行非条件Logistic回归分析显示,与该病预后相关的因素有4项:高龄、发病时血糖水平高、低血糖持续时间长、肾功能异常。结论影响低血糖脑病患者预后的因素有患者年龄、低血糖的程度、低血糖持续的时间及患者的肾功能,要改善低血糖脑病患者的预后,必须及早发现及纠正低血糖,同时改善肾功能。
Objective To explore the factors affecting the prognosis of hypoglycemic encephalopathy. Methods Eighty-six patients with hypoglycemic encephalopathy admitted from January 2011 to September 2014 were enrolled in the study. According to the National Institutes of Health Stroke Scale (NIHSS), intravenous injection of 60 mL of 50% hypertonic glucose, blood glucose test and other necessary treatments Observe the patient’s prognosis, analyze the factors that affect the prognosis of patients. Results Non-conditional Logistic regression analysis showed that there were 4 factors related to the prognosis of the disease, such as advanced age, high blood sugar level on onset, long duration of hypoglycemia and abnormal renal function. Conclusion The prognosis of patients with hypoglycemic encephalopathy factors include patient age, the degree of hypoglycemia, duration of hypoglycemia and renal function of patients, to improve the prognosis of patients with hypoglycemic encephalopathy, we must early detection and correction of hypoglycemia, while improving renal function .