应激性高血糖对急性脑出血患者预后的影响和处理  

Prognosis Value and Management of Stress Hyperglycemia in Patients with Acute Cerebral Hemorrhage

作　　者：陈进宇[1] 邹文[2] 

机构地区：[1]深圳市东湖医院急诊科,广东深圳518020 [2]北京大学深圳医院神经内科

出　　处：《咸宁学院学报（医学版）》2005年第3期161-163,共3页Journal of Xianning Univarsity(medical Sciences)

摘　　要：目的探讨应激性高血糖(SHG)对急性脑出血患者预后的影响和处理方法。方法选择124例急性脑出血病例,病前无糖尿病史,观察血糖水平与脑出血量、死亡率、心电图改变及预后的关系。结果急性脑出血高血糖组患者的脑出血量、病死率、心电图改变与正常血糖组比较均有显著性差异(P<0.01),出血量越大,预后越差,病死率也越高。并且基底节区和脑干出血更易引起血糖升高。结论SHG是潜在影响脑出血患者近期预后的主要危险因素之一,正确处理应激性高血糖对急性脑出血患者的预后有重要意义。Objective To assess the prognosis value and management of stress hyperglycemia (SHG) in patients with acute cerebral hemorrhage(ACH).Methods The relationship between the level of blood sugar and the amount of bleeding, mortality, ECG and prognosis as well as therapy on 124 patients with ACH were retrospectively reviewed . These patients hadn't had diabetes before. Results The amount of bleeding, mortality and the change ECG in the patients with SHG were significantly different (P<0.01) compared to those patients with normal blood sugar level, the prognosis were poor in the patients with more bleeding. And SHG were more commonly induced by bleeding of the ganglia and brain stem.Conclusion SHG is the one of potential risks for the later prognosis of the patients with ACH. It is favorable for the patients with SHG to improve prognosis in appropriate management.

关 键 词：急性脑出血 应激性高血糖 预后 治疗 

分 类 号：R743.34[医药卫生—神经病学与精神病学]