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目的观察脑梗死患者血糖水平与预后的关系。方法将78例脑梗死患者分为2组:糖尿病组36例,非糖尿病组42例。检测患者入院第2天、1周、2周空腹血糖。对所有脑梗死患者给予扩血管,抗血小板聚集,降低血粘度,控制血压及对症支持治疗,无禁忌证者给予降纤酶溶栓,有脑水肿表现者应用脱水剂。分别在治疗前、治疗后进行评定,分析血糖水平与预后的关系。结果糖尿病组基本治愈率,显著进步率明显低于非糖尿病组,死亡率明显高于非糖尿病组。结论血糖水平的高低,可作为估计脑梗死预后的重要参数。
Objective To observe the relationship between blood glucose and prognosis in patients with cerebral infarction. Methods 78 patients with cerebral infarction were divided into two groups: 36 in diabetic group and 42 in non-diabetic group. Patients were admitted to hospital the first 2 days, 1 week, 2 weeks fasting blood glucose. To all patients with cerebral infarction vasodilator, anti-platelet aggregation, reduce blood viscosity, blood pressure and symptomatic and supportive treatment, no contraindications were given defibrase thrombolytic, hydrocephalus performance of those who use dehydration agent. Before treatment, after treatment were assessed, analysis of the relationship between blood glucose and prognosis. Results The basic cure rate and significant improvement rate in diabetic group were significantly lower than those in non-diabetic group, and the mortality was significantly higher than that in non-diabetic group. Conclusion The level of blood glucose can be used as an important parameter to estimate the prognosis of cerebral infarction.