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目的探讨脑出血患者早期血糖水平与病情转归的关系。方法患者入院时按GCS评分分为重型组、中型组与轻型组,出院时按GOS评分分为死亡或植物生存组、残疾组与良好组,分别测定血糖,将其测定值进行对比分析。结果血糖均值对比:①重型组、中型组与轻型组两两对比差异有统计学意义(P<0.05);②死亡或植物生存组、残疾组与良好组两两对比差异有统计学意义(P<0.05)。结论高血压脑出血患者早期血糖水平与病情转归有着明显的关系,GCS评分越低,血糖越高,病情转归越差。
Objective To investigate the relationship between early blood glucose level and prognosis in patients with intracerebral hemorrhage. Methods The patients were divided into two groups: severe group, medium group and light group according to GCS score at admission. According to GOS score, they were divided into death or plant survival group, disability group and good group at discharge. Blood glucose was measured and the measured value was compared. Results Comparing the mean of blood glucose: (1) There was significant difference between the severe group, moderate group and light group (P <0.05); ②The death or plant survival group, the difference between the disabled group and the good group was statistically significant <0.05). Conclusions There is a clear relationship between the early stage of blood glucose and the prognosis of patients with hypertensive cerebral hemorrhage. The lower the GCS score, the higher the blood glucose, the worse the outcome.