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目的急诊颅脑外伤术后血糖水平和继发脑梗死的相关性。方法92例颅脑损伤患者随机分为两组,治疗组46例血糖水平控制在3.9～6.1mmol/L,对照组46例血糖水平控制在6.1～11.1mmol/L;比较两组患者继发脑梗死发生率和疗效。结果与对照组相比,治疗组继发脑梗死发生率(P<0.05)明显降低,治疗有效率明显升高(P<0.01);血糖控制水平(r=0.324,P<0.01)与颅脑外伤术后继发脑梗死发生率明显正相关。结论血糖水平与颅脑损伤患者继发脑梗死的发生密切相关,临床上要注意血糖的合理控制,以降低患者继发脑梗死,改善患者预后。
Objective To study the correlation between blood glucose level and secondary cerebral infarction after emergency craniocerebral trauma. Methods Ninety-two patients with traumatic brain injury were randomly divided into two groups. The blood glucose level of 46 patients in the treatment group was controlled at 3.9-6.1 mmol / L, while that in the control group was 6.1-11.1 mmol / L. The secondary brain was compared between the two groups The incidence of infarction and efficacy. Results Compared with the control group, the incidence of secondary cerebral infarction in the treatment group was significantly lower (P <0.05) and the effective rate of treatment was significantly higher (P <0.01). The level of blood glucose control (r = 0.324, The incidence of secondary cerebral infarction after trauma was significantly positively correlated. Conclusion The blood glucose level is closely related to the occurrence of secondary cerebral infarction in patients with craniocerebral injury. In clinic, we should pay attention to the reasonable control of blood glucose to reduce secondary cerebral infarction and improve the prognosis of patients.