颅脑损伤患者血糖测定的临床意义  

The clinical significance of blood glucose measuring for patients with head injury

作　　者：李娜[1] 张天华[1] 徐军[1] 张启华[1] 陈茂送[1] 庄一新[1] 

机构地区：[1]宁波市医疗中心李惠利医院,浙江宁波315010

出　　处：《护理与康复》2005年第2期84-85,共2页Journal of Nursing and Rehabilitation

基　　金：宁波市科委;宁波市卫生局课题 ;编号 :2 0 0 2 0 64

摘　　要：目的　探讨颅脑损伤后患者血糖水平与预后关系。方法　将 180例颅脑损伤患者按格拉斯哥昏迷评分 ,从低至高分为A、B、C 3组 ,在入院时、入院 2～ 3d、入院 4～ 7d测空腹血糖值 ,进行t检验。预后评定采用格拉斯哥预后标准 ,评定后进行x2 检验。结果　A组与B、C两组第 1次血糖比较 (P <0 0 5 ) ,差异有显著性意义 ,格拉斯哥昏迷评分越低 ,空腹血糖水平越高 ,预后越差。结论　血糖水平是评价颅脑损伤患者病情严重程度和预后的一项重要指标。Objective To investigate the relationship between blood glucose levels and outcome of head injury.Method According to serum glucose levels,180 cases with head injury were divided into A,B and C groups.T test for serum glucos leuels during patient admition,after admition、2～3 days and 4～7 days.The prognosis was measured by Glasgow outcome scale and than given chi-square test.Result There has significant difference between A and B,C groups in serum glucose levels for the first time (p<0.05).The lower GCS scores,the higher serum glucose,the worse prognosis.Conclusion The serum glucose level is one important reference index for evaluating the state of illness and outcomes of head injury.We should think highly of serum glucose assay so that the patients can be treated in time.

关 键 词：颅脑损伤 血糖 测定 预后 

分 类 号：R651.15[医药卫生—外科学]