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对７２例急性脑血管病（ＡＣＶＤ）患者（脑出血３２例，脑梗塞４０例）的血清及脑脊液胰岛素水平进行测定。结果发现脑出血患者血清及脑脊液胰岛素水平均高于对照组（Ｐ＜０．０５，Ｐ＜０．０１）。脑梗塞患者与对照组比较未见明显差别（Ｐ＞０．０５），而两组血糖水平均高于对照组（Ｐ＜０．０５）。同时发现胰岛素水平与病人的病情及预后相关。建议对血糖水平升高而血清及脑脊液胰岛素水平较低的ＡＣＶＤ患者应积极使用胰岛素治疗。
Serum and cerebrospinal fluid insulin levels were measured in 72 patients with acute cerebrovascular disease (ACVD) (32 with cerebral hemorrhage and 40 with cerebral infarction). The results showed that patients with cerebral hemorrhage serum and cerebrospinal fluid insulin levels were higher than the control group (P <0.05, P <0.01). There was no significant difference between the patients with cerebral infarction and the control group (P> 0.05), while the blood glucose level of both groups were higher than that of the control group (P <0.05). Also found that insulin levels and the patient’s condition and prognosis. It is recommended that patients with ACVD with elevated blood glucose levels and lower serum insulin and CSF levels of insulin should be actively treated with insulin.