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目的 探讨糖化血红蛋白(GHb)和血液流变学指标在血糖升高的急性脑梗死(ACI)病人早期诊断中的意义。方法 将65例血糖升高ACI病人分为糖尿病(DM)组和非DM组,各组GHb和血液流变学指标进行对照比较。结果 急性脑梗死病人血液流变学指标与正常对照组比较有差异,DM组与非DM组比较GHb和血液流变学指标均有显著性差异。结论 GHb和血液流变学指标检测对ACI病人的早期诊断和鉴别诊断以及预后有较好的临床价值。
Objective To investigate the significance of glycosylated hemoglobin (GHb) and hemorheology in the early diagnosis of patients with acute cerebral infarction (ACI) with elevated blood sugar. Methods Sixty-five ACI patients with hyperglycemia were divided into two groups: diabetic group (DM) and non-diabetic group (DM). The GHb and hemorrheological indexes were compared between the two groups. Results The hemorrheological indexes in patients with acute cerebral infarction were different from those in normal control group. There were significant differences in GHb and hemorheology between DM group and non-DM group. Conclusions The detection of GHb and hemorheological indexes has good clinical value in the early diagnosis, differential diagnosis and prognosis of ACI patients.