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将重型颅脑损伤合并高血糖患者,按照入院的末梢血糖、HbA1c水平不同分成糖尿病组和应激性高血糖组,根据血糖控制的目标值不同,了解各组的预后差异。结果无论糖尿病组,还是应激性高血糖组,常规治疗良好率都有统计学差异,说明血糖控制目标在6.2～8.3mmol/L预后最佳。结论对于ICU的重型颅脑损伤合并血糖升高患者,无论是糖尿病患者,还是应激性高血糖患者,血糖控制目标在6.2～8.3mmol/L预后最佳。
Patients with severe traumatic brain injury complicated with hyperglycemia were divided into diabetic group and stress hyperglycemia group according to admission blood glucose and HbA1c level. According to the target value of blood glucose control, the difference of prognosis was obtained. Results No significant difference was found in the rate of routine treatment between diabetic group and stress hyperglycemia group, indicating that the target of glycemic control was the best at 6.2 ~ 8.3mmol / L. Conclusion In ICU patients with severe craniocerebral injury complicated with hyperglycemia, the target of glycemic control is the best in 6.2 ~ 8.3mmol / L for both patients with diabetes mellitus and those with stress hyperglycemia.