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目的观察急性期脑出血患者血糖变化 ,并对胰岛素辅助治疗与常规治疗的疗效进行比较。方法对所有急性期脑出血患者的血糖进行动态观察。应激性高血糖治疗组每日胰岛素 16U加入 5 %葡萄糖溶液 5 0 0 ml,静滴 2周 ;对照组除胰岛素外 ,其他与治疗组相同。结果脑出血患者病情越重 ,血糖越高 ,胰岛素可明显缩短高血糖持续时间。胰岛素治疗组神经功能恢复效果较好 ,病死率降低。结论胰岛素对急性脑出血血肿周围组织具有良好的保护作用
Objective To observe the changes of blood glucose in patients with acute intracerebral hemorrhage and to compare the curative effects of adjuvant insulin therapy and conventional therapy. Methods All patients with acute intracerebral hemorrhage were observed for blood glucose. Stress hyperglycemia treatment group daily insulin 16U added 5% glucose solution 500 ml, intravenous infusion for 2 weeks; control group except insulin, the other with the same treatment group. The results of patients with cerebral hemorrhage heavier, higher blood sugar, insulin can significantly shorten the duration of hyperglycemia. Insulin treatment group better neurological recovery, mortality decreased. Conclusion Insulin has a good protective effect on the tissue around the hematoma of acute intracerebral hemorrhage