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目的 探讨高血糖与脑梗死患者预后的关系。方法 检测了 14 2例脑梗死急性期 (发病小于 2 4小时 )内患者的首次空腹血糖 ,并分为单纯应激性高血糖组、糖尿病组、血糖正常组。结果 入院 2周内单纯应激性高血糖组、糖尿病组神经功能缺损评分明显高于血糖正常组 ,有显著差异 (P <0 .0 5 ) ;脑梗死病死率单纯应激性高血糖组、糖尿病组较血糖正常组高 ,有显著差异 (P <0 .0 5 ) ;脑梗死急性期预后血糖正常组好于单纯应激性高血糖组、糖尿病组 ,有显著差异 (P <0 .0 5 )。结论 血糖检测可作为急性脑梗死患者评估病情、选择治疗方法的手段之一。
Objective To investigate the relationship between hyperglycemia and prognosis in patients with cerebral infarction. Methods The first fasting plasma glucose (FBG) in 142 acute cerebral infarction patients (less than 24 hours) was detected and divided into simple hyperglycemia group, diabetes mellitus group and normal blood glucose group. Results The scores of neurological deficits in the stress-induced hyperglycemia group and the diabetic group were significantly higher than those in the normal control group (P <0.05) within 2 weeks after admission. The mortality of cerebral infarction group was significantly higher than that in the hyperglycemia group, There was a significant difference between the diabetic group and the normal group (P <0.05). The prognosis of the acute stage of cerebral infarction was better than that of the hyperglycemia group and the diabetic group (P <0. 0) 5). Conclusion Blood glucose test can be used as one of the means to evaluate the condition of patients with acute cerebral infarction and choose the treatment method.